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
HB Z-Poem - Unlisted
Low
$485
Average
$2.8k
Median
$2.0k
High
$10.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.3× 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 case rate · outpatient · +29 other terms | 431 | $3.0k | $3.1k | $2.1k | 68% | 58–94 | $1 – $16.8k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 337 | $1.7k | $2.6k | $3.1k | 119% | 2–20 | $1 – $26.2k |
| 3 | Aetna fee schedule · outpatient · +27 other terms | 464 | $1.0k | $2.0k | $2.2k | 112% | — | $1 – $21.3k |
| 4 | Humana fee schedule · outpatient · +23 other terms | 286 | $942 | $1.1k | $928 | 83% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +23 other terms | 232 | $6.8k | $11.8k | $8.7k | 74% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 159 | $1.1k | $1.2k | $671 | 55% | — | $1 – $5.1k |
| 7 | WellCare fee schedule · outpatient · +13 other terms | 153 | $957 | $1.1k | $521 | 48% | — | $313 – $4.4k |
| 8 | Oscar case rate · outpatient · +16 other terms | 129 | $3.7k | $3.2k | $1.4k | 44% | — | $1.4k – $7.5k |
| 9 | Anthem fee schedule · outpatient · +24 other terms | 117 | $942 | $1.1k | $2.0k | 179% | — | $0 – $13.1k |
| 10 | Kaiser fee schedule · outpatient · +16 other terms | 95 | $1.3k | $1.7k | $979 | 57% | — | $435 – $6.5k |
| 11 | Ambetter facility · fee schedule · outpatient · +13 other terms | 83 | $1.7k | $1.9k | $932 | 50% | — | $855 – $8.3k |
| 12 | Healthcare Highways case rate · outpatient · +3 other terms | 73 | $2.4k | $2.7k | $559 | 21% | — | $2k – $4.3k |
| 13 | Devoted fee schedule · outpatient · +9 other terms | 70 | $947 | $939 | $56 | 6% | — | $826 – $1.1k |
| 14 | Optum fee schedule · outpatient · +18 other terms | 56 | $881 | $1.0k | $461 | 45% | — | $440 – $3.3k |
| 15 | MultiPlan fee schedule · outpatient · +17 other terms | 40 | $1.5k | $1.5k | $170 | 12% | — | $880 – $2.7k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $958 | $81 | 8% | — | $929 – $1.4k |
| 17 | Caresource fee schedule · outpatient · +11 other terms | 35 | $1.4k | $1.4k | $899 | 62% | — | $1 – $4.4k |
| 18 | Tricare fee schedule · outpatient · +14 other terms | 35 | $823 | $1.4k | $1.4k | 104% | — | $664 – $5.1k |
| 19 | Clover fee schedule · outpatient · +6 other terms | 31 | $1.0k | $1.4k | $1.1k | 77% | — | $819 – $4.4k |
| 20 | Highmark facility · fee schedule · outpatient · +8 other terms | 29 | $1.4k | $880 | $933 | 106% | — | $19 – $3.1k |
| 21 | Medicare fee schedule · outpatient · +12 other terms | 29 | $908 | $1.3k | $964 | 76% | — | $804 – $4.2k |
| 22 | First Health fee schedule · outpatient · +15 other terms | 28 | $999 | $2.3k | $2.4k | 104% | — | $880 – $7.2k |
| 23 | Medica case rate · outpatient · +14 other terms | 28 | $2.3k | $2.2k | $768 | 35% | — | $888 – $3.2k |
| 24 | Bcbs Tx fee schedule · outpatient · +5 other terms | 26 | $1.2k | $1.1k | $360 | 32% | — | $613 – $2.7k |
| 25 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $1.2k | $1.2k | $229 | 20% | — | $866 – $1.5k |
← Hospitals reporting CPT 43499 · Snapshot 20261111T120946Z-9134e7f7