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
Intro GI Tube Past Stomach
Low
$23
Average
$1.1k
Median
$1.0k
High
$3.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
68 payers; the 90th percentile is 3.1× 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 · +37 other terms | 552 | $968 | $1.4k | $2.0k | 141% | — | $1 – $27.6k |
| 2 | Aetna fee schedule · outpatient · +36 other terms | 500 | $985 | $1.8k | $3.1k | 172% | — | $1 – $33.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +33 other terms | 392 | $1.3k | $1.8k | $1.9k | 106% | — | $1 – $18.0k |
| 4 | Humana fee schedule · outpatient · +30 other terms | 367 | $908 | $777 | $762 | 98% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +32 other terms | 321 | $3.2k | $5.0k | $6.5k | 130% | — | $1 – $40.7k |
| 6 | Molina fee schedule · outpatient · +31 other terms | 219 | $672 | $629 | $492 | 78% | — | $1 – $3.6k |
| 7 | WellCare fee schedule · outpatient · +19 other terms | 168 | $939 | $941 | $527 | 56% | — | $18 – $4.4k |
| 8 | Anthem fee schedule · outpatient · +28 other terms | 132 | $641 | $470 | $1.1k | 225% | — | $17 – $6.6k |
| 9 | Oscar case rate · outpatient · +22 other terms | 130 | $3.0k | $2.5k | $1.1k | 42% | — | $1.4k – $7.5k |
| 10 | Kaiser fee schedule · outpatient · +25 other terms | 105 | $1.2k | $1.4k | $1.3k | 97% | — | $1 – $6.5k |
| 11 | MultiPlan fee schedule · outpatient · +24 other terms | 88 | $1.2k | $1.4k | $290 | 21% | — | $21 – $2.4k |
| 12 | Ambetter facility · fee schedule · outpatient · +19 other terms | 86 | $1.7k | $1.8k | $912 | 50% | — | $27 – $8.3k |
| 13 | Devoted facility · fee schedule · outpatient · +17 other terms | 72 | $924 | $1.0k | $542 | 54% | — | $858 – $5.0k |
| 14 | Aetna Better Health fee schedule · outpatient · +20 other terms | 67 | $423 | $409 | $150 | 37% | — | $14 – $992 |
| 15 | Optum fee schedule · outpatient · +23 other terms | 66 | $858 | $921 | $608 | 66% | — | $18 – $3.3k |
| 16 | Caresource fee schedule · outpatient · +18 other terms | 61 | $941 | $878 | $812 | 92% | — | $1 – $4.4k |
| 17 | Highmark facility · fee schedule · outpatient · +18 other terms | 60 | $1.0k | $1.1k | $1.0k | 92% | — | $17 – $4.2k |
| 18 | Healthcare Highways case rate · outpatient · +5 other terms | 59 | $2.2k | $1.9k | $607 | 32% | — | $1.2k – $4.3k |
| 19 | Amerihealth Caritas facility · fee schedule · outpatient · +14 other terms | 48 | $161 | $505 | $1.2k | 245% | — | $22 – $9.7k |
| 20 | First Health fee schedule · outpatient · +23 other terms | 47 | $947 | $875 | $509 | 58% | — | $18 – $2.1k |
| 21 | Tricare fee schedule · outpatient · +20 other terms | 44 | $873 | $1.0k | $1.1k | 111% | — | $466 – $5.1k |
| 22 | Superior Healthplan case rate · outpatient · +7 other terms | 38 | $948 | $952 | $62 | 6% | — | $929 – $1.4k |
| 23 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 33 | $858 | $766 | $256 | 33% | — | $352 – $984 |
| 24 | Clover fee schedule · outpatient · +10 other terms | 32 | $1.0k | $1.3k | $968 | 74% | — | $819 – $4.4k |
| 25 | Medica case rate · outpatient · +22 other terms | 28 | $2.3k | $2.3k | $798 | 34% | — | $888 – $3.2k |
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