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
RMV NTR OI IMP SK TC>=100
Low
$529
Average
$3.9k
Median
$3.0k
High
$28.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 6.1× 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 · +21 other terms | 457 | $3.2k | $4.5k | $5.2k | 115% | — | $50 – $95.3k |
| 2 | Aetna fee schedule · outpatient · +17 other terms | 422 | $3.4k | $4.1k | $2.9k | 71% | — | $79 – $26.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +16 other terms | 313 | $4.7k | $6.0k | $3.9k | 65% | — | $1 – $38.9k |
| 4 | Humana fee schedule · outpatient · +15 other terms | 304 | $3.2k | $2.8k | $1.3k | 46% | — | $479 – $10.7k |
| 5 | Molina fee schedule · outpatient · +13 other terms | 194 | $2.4k | $2.1k | $1.7k | 81% | — | $200 – $13.0k |
| 6 | Cigna case rate · outpatient · +14 other terms | 183 | $7.3k | $13.2k | $8.7k | 66% | — | $1.1k – $40.7k |
| 7 | WellCare fee schedule · outpatient · +11 other terms | 154 | $3.3k | $3.4k | $1.2k | 37% | — | $510 – $7.6k |
| 8 | Anthem fee schedule · outpatient · +13 other terms | 94 | $3.2k | $3.1k | $4.0k | 129% | — | $557 – $23.9k |
| 9 | Aetna Better Health fee schedule · outpatient · +9 other terms | 69 | $1.4k | $1.4k | $374 | 26% | — | $536 – $3.0k |
| 10 | Devoted fee schedule · outpatient · +6 other terms | 68 | $3.3k | $3.0k | $888 | 29% | — | $575 – $3.7k |
| 11 | Kaiser fee schedule · outpatient · +8 other terms | 66 | $4.7k | $5.7k | $4.3k | 76% | — | $524 – $23.4k |
| 12 | Oscar case rate · outpatient · +13 other terms | 65 | $5.1k | $4.5k | $1.4k | 31% | — | $3.3k – $7.3k |
| 13 | Ambetter fee schedule · outpatient · +10 other terms | 63 | $5.7k | $4.6k | $2.5k | 54% | — | $756 – $7.9k |
| 14 | Caresource fee schedule · outpatient · +9 other terms | 43 | $3.2k | $2.6k | $1.3k | 50% | — | $1.5k – $5.6k |
| 15 | Healthcare Highways case rate · outpatient · +1 other terms | 42 | $5.8k | $7.3k | $5.2k | 71% | — | $2.1k – $14.6k |
| 16 | Optum fee schedule · outpatient · +9 other terms | 34 | $3.1k | $3.7k | $2.9k | 80% | — | $575 – $12.1k |
| 17 | Superior Healthplan case rate · outpatient · +2 other terms | 33 | $948 | $944 | $8 | 1% | — | $929 – $948 |
| 18 | Bcbs Tx fee schedule · outpatient | 32 | $4.3k | $4.2k | $2.0k | 48% | — | $1.1k – $12.4k |
| 19 | Clover fee schedule · outpatient · +5 other terms | 31 | $3.5k | $3.4k | $214 | 6% | — | $3.0k – $3.8k |
| 20 | First Health fee schedule · outpatient · +11 other terms | 28 | $3.4k | $3.1k | $2.3k | 74% | — | $660 – $7.6k |
| 21 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 27 | $1.1k | $2.1k | $1.0k | 50% | — | $1.1k – $3.4k |
| 22 | Bcbs La fee schedule · outpatient · +2 other terms | 24 | $5.4k | $5.4k | $1.1k | 21% | — | $2.0k – $7.7k |
| 23 | Medicare fee schedule · outpatient · +8 other terms | 23 | $575 | $1.1k | $1.0k | 99% | — | $524 – $3.3k |
| 24 | Amerihealth Caritas case rate · outpatient · +5 other terms | 21 | $1.4k | $1.5k | $134 | 9% | — | $1.4k – $1.9k |
| 25 | Regence professional · fee schedule · outpatient · +8 other terms | 21 | $578 | $627 | $166 | 26% | — | $578 – $1.5k |
← Hospitals reporting CPT 69728 · Snapshot 20261113T090226Z-3ce6c0b8