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
HC Xray Exam Ent Spi 6/> Vw
Low
$64
Average
$342
Median
$293
High
$1.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
68 payers; the 90th percentile is 5.0× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +34 other terms | 468 | $187 | $222 | $236 | 106% | 28–46 | $1 – $3.8k |
| 2 | Medicare other · both · +16 other terms | 42 | $111 | $116 | $17 | 14% | 19–82 | $97 – $154 |
| 3 | UnitedHealthcare fee schedule · outpatient · +37 other terms | 702 | $179 | $202 | $305 | 151% | 13–22 | $1 – $8.0k |
| 4 | Cigna fee schedule · outpatient · +29 other terms | 464 | $244 | $318 | $547 | 172% | 3–30 | $20 – $6.6k |
| 5 | Anthem fee schedule · outpatient · +29 other terms | 166 | $206 | $173 | $189 | 109% | 2–20 | $2 – $1.7k |
| 6 | Aetna fee schedule · outpatient · +36 other terms | 630 | $147 | $347 | $717 | 206% | 1–10 | $1 – $14.1k |
| 7 | Humana fee schedule · outpatient · +32 other terms | 385 | $116 | $268 | $679 | 254% | — | $1 – $6.3k |
| 8 | Molina fee schedule · outpatient · +32 other terms | 229 | $110 | $118 | $73 | 62% | — | $1 – $1.3k |
| 9 | WellCare fee schedule · outpatient · +23 other terms | 173 | $107 | $110 | $44 | 40% | — | $21 – $368 |
| 10 | Ambetter fee schedule · outpatient · +20 other terms | 113 | $181 | $222 | $498 | 225% | — | $52 – $5.5k |
| 11 | MultiPlan fee schedule · outpatient · +23 other terms | 105 | $443 | $1.1k | $2.0k | 182% | — | $26 – $9.2k |
| 12 | Kaiser fee schedule · outpatient · +23 other terms | 98 | $152 | $246 | $341 | 138% | — | $20 – $2.3k |
| 13 | Devoted facility · fee schedule · outpatient · +17 other terms | 92 | $105 | $150 | $458 | 305% | — | $85 – $4.9k |
| 14 | Aetna Better Health fee schedule · outpatient · +19 other terms | 76 | $107 | $106 | $20 | 19% | — | $49 – $208 |
| 15 | Caresource fee schedule · outpatient · +17 other terms | 76 | $115 | $140 | $56 | 40% | — | $1 – $239 |
| 16 | Oscar facility · fee schedule · outpatient · +19 other terms | 65 | $153 | $153 | $30 | 20% | — | $97 – $196 |
| 17 | Tricare facility · fee schedule · outpatient · +21 other terms | 65 | $104 | $157 | $449 | 285% | — | $67 – $4.6k |
| 18 | Highmark facility · fee schedule · outpatient · +20 other terms | 63 | $120 | $133 | $100 | 75% | — | $15 – $482 |
| 19 | Optum fee schedule · outpatient · +22 other terms | 58 | $98 | $976 | $1.9k | 192% | — | $22 – $7.2k |
| 20 | Medicaid facility · fee schedule · outpatient · +15 other terms | 55 | $78 | $87 | $28 | 32% | — | $45 – $166 |
| 21 | First Health fee schedule · outpatient · +17 other terms | 53 | $167 | $735 | $1.6k | 212% | — | $24 – $6.2k |
| 22 | Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms | 46 | $78 | $90 | $32 | 36% | — | $36 – $235 |
| 23 | Medica fee schedule · outpatient · +19 other terms | 40 | $213 | $241 | $139 | 58% | — | $19 – $991 |
| 24 | Cigna Healthspring fee schedule · outpatient · +10 other terms | 38 | $104 | $102 | $13 | 12% | — | $83 – $135 |
| 25 | Clover facility · fee schedule · outpatient · +8 other terms | 37 | $107 | $106 | $8 | 8% | — | $85 – $125 |
← Hospitals reporting CPT 72084 · Snapshot 20261111T120946Z-9134e7f7