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
US Soft Tissue Head & Neck Real Time Imge Docm
72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +43 other terms | 788 | $183.52 | $209.43 | $1.00 – $7,320 |
| 2 | Aetna fee schedule · outpatient · +40 other terms | 723 | $181.95 | $366.08 | $0.51 – $17,169 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 539 | $206.44 | $237.32 | $1.00 – $2,668 |
| 4 | Cigna fee schedule · outpatient · +37 other terms | 514 | $290.78 | $332.81 | $21.44 – $3,078 |
| 5 | Humana fee schedule · outpatient · +34 other terms | 437 | $121.97 | $218.61 | $1.10 – $5,228 |
| 6 | Molina fee schedule · outpatient · +36 other terms | 269 | $116.28 | $125.57 | $1.00 – $557.25 |
| 7 | Anthem fee schedule · outpatient · +37 other terms | 204 | $236.90 | $193.94 | $2.07 – $1,663 |
| 8 | WellCare fee schedule · outpatient · +29 other terms | 196 | $113.72 | $122.80 | $21.44 – $519.00 |
| 9 | MultiPlan fee schedule · outpatient · +25 other terms | 136 | $696.97 | $644.63 | $34.98 – $2,638 |
| 10 | Kaiser fee schedule · outpatient · +30 other terms | 110 | $174.31 | $243.51 | $22.80 – $2,018 |
| 11 | Ambetter fee schedule · outpatient · +26 other terms | 107 | $180.60 | $162.89 | $12.50 – $700.15 |
| 12 | Devoted facility · fee schedule · outpatient · +21 other terms | 104 | $105.53 | $136.92 | $14.66 – $4,863 |
| 13 | Aetna Better Health fee schedule · outpatient · +21 other terms | 92 | $113.13 | $114.91 | $42.72 – $385.49 |
| 14 | Tricare facility · fee schedule · outpatient · +22 other terms | 86 | $105.08 | $159.17 | $13.51 – $4,573 |
| 15 | Caresource fee schedule · outpatient · +23 other terms | 79 | $120.06 | $198.63 | $1.08 – $609.28 |
| 16 | Oscar facility · fee schedule · outpatient · +24 other terms | 71 | $157.18 | $156.04 | $41.68 – $351.00 |
| 17 | Highmark facility · fee schedule · outpatient · +23 other terms | 69 | $166.66 | $180.57 | $20.08 – $642.84 |
| 18 | First Health fee schedule · outpatient · +21 other terms | 66 | $212.89 | $437.52 | $32.29 – $2,638 |
| 19 | Medicaid facility · fee schedule · outpatient · +21 other terms | 63 | $90.46 | $99.75 | $50.98 – $256.19 |
| 20 | Optum fee schedule · outpatient · +27 other terms | 63 | $97.64 | $341.36 | $25.65 – $2,734 |
| 21 | Amerihealth Caritas facility · fee schedule · outpatient · +19 other terms | 54 | $96.96 | $112.56 | $50.98 – $354.00 |
| 22 | Medicare other · both · +23 other terms | 53 | $110.61 | $155.83 | $97.38 – $685.00 |
| 23 | Medica fee schedule · outpatient · +26 other terms | 48 | $263.16 | $275.30 | $21.87 – $876.96 |
| 24 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 47 | $109.99 | $112.22 | $92.94 – $212.64 |
| 25 | Clover facility · fee schedule · outpatient · +16 other terms | 36 | $110.10 | $110.59 | $91.00 – $125.23 |
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