Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Dstrctn Premalg 15+ Lsns
Low
$116
Average
$721
Median
$493
High
$6.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 4.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +39 other terms | 563 | $397 | $786 | $1.4k | 183% | 67–94 | $1 – $17.9k |
| 2 | Humana fee schedule · outpatient · +30 other terms | 383 | $392 | $444 | $789 | 178% | 29–47 | $1 – $12.8k |
| 3 | Kaiser fee schedule · outpatient · +23 other terms | 102 | $525 | $677 | $711 | 105% | 25 | $3 – $4.3k |
| 4 | Aetna fee schedule · outpatient · +35 other terms | 512 | $440 | $1.2k | $2.1k | 176% | 4–40 | $2 – $21.3k |
| 5 | Wellmark case rate · outpatient · +19 other terms | 14 | $379 | $381 | $81 | 21% | 4–40 | $93 – $472 |
| 6 | Ucare professional · fee schedule · outpatient · +14 other terms | 18 | $134 | $135 | $39 | 29% | 1–10 | $53 – $284 |
| 7 | Premera fee schedule · outpatient · +12 other terms | 10 | $1.4k | $1.2k | $383 | 31% | 1–10 | $659 – $1.8k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +31 other terms | 414 | $528 | $1.0k | $1.6k | 149% | — | $0 – $15.6k |
| 9 | Cigna case rate · outpatient · +31 other terms | 300 | $2.9k | $4.6k | $6.2k | 134% | — | $82 – $40.7k |
| 10 | Molina fee schedule · outpatient · +29 other terms | 227 | $296 | $260 | $240 | 93% | — | $1 – $1.6k |
| 11 | WellCare fee schedule · outpatient · +22 other terms | 170 | $412 | $469 | $537 | 115% | — | $79 – $4.3k |
| 12 | Anthem fee schedule · outpatient · +30 other terms | 131 | $432 | $450 | $691 | 154% | — | $58 – $6.3k |
| 13 | Oscar case rate · outpatient · +22 other terms | 119 | $2.7k | $3.8k | $1.8k | 48% | — | $625 – $7.5k |
| 14 | Ambetter fee schedule · outpatient · +20 other terms | 88 | $682 | $553 | $387 | 70% | — | $43 – $2.3k |
| 15 | Aetna Better Health fee schedule · outpatient · +20 other terms | 75 | $123 | $135 | $58 | 43% | — | $85 – $455 |
| 16 | Devoted fee schedule · outpatient · +17 other terms | 60 | $402 | $359 | $118 | 33% | — | $88 – $454 |
| 17 | Caresource fee schedule · outpatient · +16 other terms | 59 | $323 | $382 | $610 | 160% | — | $96 – $4.3k |
| 18 | Optum fee schedule · outpatient · +26 other terms | 57 | $367 | $380 | $303 | 80% | — | $79 – $1.5k |
| 19 | MultiPlan fee schedule · outpatient · +21 other terms | 49 | $427 | $580 | $142 | 25% | — | $26 – $639 |
| 20 | Tricare fee schedule · outpatient · +22 other terms | 43 | $377 | $787 | $1.4k | 177% | — | $81 – $5.1k |
| 21 | Healthcare Highways case rate · outpatient · +4 other terms | 42 | $5.8k | $6.7k | $5.1k | 77% | — | $2.1k – $14.6k |
| 22 | Medica fee schedule · outpatient · +20 other terms | 41 | $220 | $291 | $172 | 59% | — | $21 – $731 |
| 23 | First Health fee schedule · outpatient · +20 other terms | 39 | $425 | $1.0k | $2.1k | 207% | — | $97 – $7.2k |
| 24 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $938 | $48 | 5% | — | $600 – $948 |
| 25 | Highmark facility · fee schedule · outpatient · +17 other terms | 34 | $681 | $700 | $522 | 74% | — | $84 – $2.4k |
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