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
PR US Abdomen Limited|PROFESSIONAL COMPONENT
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 · +44 other terms | 808 | $179.33 | $205.07 | $1.00 – $3,125 |
| 2 | Aetna fee schedule · outpatient · +41 other terms | 731 | $147.37 | $333.24 | $0.51 – $12,105 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +39 other terms | 546 | $203.10 | $242.61 | $1.00 – $4,375 |
| 4 | Cigna fee schedule · outpatient · +39 other terms | 527 | $252.75 | $308.37 | $1.10 – $3,078 |
| 5 | Humana fee schedule · outpatient · +35 other terms | 461 | $113.54 | $187.16 | $1.10 – $1,986 |
| 6 | Molina fee schedule · outpatient · +36 other terms | 269 | $109.24 | $118.10 | $1.05 – $557.25 |
| 7 | WellCare fee schedule · outpatient · +28 other terms | 212 | $113.24 | $122.35 | $22.29 – $607.00 |
| 8 | Anthem fee schedule · outpatient · +37 other terms | 200 | $232.01 | $178.11 | $2.07 – $2,537 |
| 9 | MultiPlan fee schedule · outpatient · +25 other terms | 141 | $702.40 | $657.76 | $36.15 – $3,204 |
| 10 | Ambetter fee schedule · outpatient · +26 other terms | 128 | $161.75 | $149.86 | $19.60 – $745.75 |
| 11 | Devoted facility · fee schedule · outpatient · +21 other terms | 113 | $104.86 | $120.54 | $15.45 – $4,863 |
| 12 | Kaiser fee schedule · outpatient · +30 other terms | 111 | $174.31 | $224.99 | $25.20 – $2,296 |
| 13 | Caresource fee schedule · outpatient · +24 other terms | 97 | $107.62 | $171.88 | $1.08 – $644.00 |
| 14 | Tricare facility · fee schedule · outpatient · +24 other terms | 97 | $105.02 | $150.79 | $14.26 – $4,573 |
| 15 | Aetna Better Health fee schedule · outpatient · +21 other terms | 92 | $95.63 | $100.61 | $41.79 – $385.49 |
| 16 | Highmark facility · fee schedule · outpatient · +23 other terms | 91 | $139.45 | $167.30 | $20.84 – $653.68 |
| 17 | Oscar facility · fee schedule · outpatient · +24 other terms | 72 | $152.82 | $143.14 | $41.68 – $351.00 |
| 18 | Optum facility · fee schedule · outpatient · +27 other terms | 71 | $101.59 | $112.67 | $90.10 – $671.83 |
| 19 | First Health fee schedule · outpatient · +21 other terms | 67 | $261.81 | $423.43 | $33.52 – $2,662 |
| 20 | Medicaid facility · fee schedule · outpatient · +20 other terms | 63 | $87.13 | $98.36 | $20.00 – $256.19 |
| 21 | Amerihealth Caritas facility · fee schedule · outpatient · +19 other terms | 54 | $79.38 | $103.69 | $37.50 – $354.00 |
| 22 | Medicare other · both · +23 other terms | 52 | $110.61 | $144.65 | $39.65 – $773.00 |
| 23 | Medica fee schedule · outpatient · +27 other terms | 48 | $214.13 | $195.28 | $22.73 – $859.14 |
| 24 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 47 | $104.85 | $106.94 | $74.37 – $177.04 |
| 25 | Clover facility · fee schedule · outpatient · +16 other terms | 36 | $110.10 | $111.50 | $91.00 – $125.23 |
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