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
facility
Low
$105
Average
$572
Median
$339
High
$6.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem fee schedule · outpatient · +37 other terms | 204 | $238 | $226 | $217 | 96% | 894–1,191 | $2 – $1.3k |
| 2 | Molina fee schedule · outpatient · +35 other terms | 267 | $119 | $132 | $56 | 42% | 519–636 | $1 – $557 |
| 3 | UnitedHealthcare fee schedule · outpatient · +44 other terms | 799 | $185 | $216 | $232 | 108% | 210–525 | $1 – $6.9k |
| 4 | Aetna fee schedule · outpatient · +41 other terms | 718 | $190 | $380 | $584 | 154% | 128–443 | $1 – $17.7k |
| 5 | Cigna fee schedule · outpatient · +37 other terms | 515 | $301 | $340 | $241 | 71% | 97–187 | $38 – $2.2k |
| 6 | Kaiser fee schedule · outpatient · +29 other terms | 111 | $177 | $250 | $280 | 112% | 73–91 | $48 – $2.1k |
| 7 | Bcbs Al facility · other · outpatient · +5 other terms | 5 | $140 | $137 | $33 | 24% | 52–115 | $93 – $175 |
| 8 | Bcbs In other · both · +1 other terms | 11 | $381 | $386 | $52 | 14% | 36–171 | $254 – $507 |
| 9 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 534 | $198 | $250 | $227 | 91% | 27–153 | $1 – $4.5k |
| 10 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $244 | $244 | — | — | 13 | $244 – $244 |
| 11 | Medicare other · both · +22 other terms | 43 | $109 | $127 | $73 | 58% | 7–70 | $97 – $692 |
| 12 | Caresource fee schedule · outpatient · +23 other terms | 96 | $108 | $172 | $86 | 50% | 4–40 | $1 – $416 |
| 13 | Medica fee schedule · outpatient · +27 other terms | 46 | $348 | $442 | $332 | 75% | 4–40 | $39 – $1.2k |
| 14 | Aetna Better Health fee schedule · outpatient · +23 other terms | 90 | $115 | $121 | $45 | 37% | 2–20 | $56 – $385 |
| 15 | Bcbs Ar fee schedule · both | 1 | $106 | $106 | — | — | 2–20 | $106 – $106 |
| 16 | Humana fee schedule · outpatient · +35 other terms | 458 | $120 | $229 | $370 | 162% | 1–10 | $1 – $6.9k |
| 17 | Wellmark facility · fee schedule · both · +29 other terms | 25 | $242 | $260 | $151 | 58% | 1–10 | $107 – $686 |
| 18 | Carefirst facility · fee schedule · both · +17 other terms | 24 | $240 | $275 | $141 | 51% | 1–10 | $107 – $564 |
| 19 | Bcbs Mo professional · other · both · +2 other terms | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 20 | WellCare fee schedule · outpatient · +28 other terms | 210 | $113 | $120 | $55 | 46% | — | $38 – $707 |
| 21 | MultiPlan fee schedule · outpatient · +24 other terms | 138 | $848 | $729 | $713 | 98% | — | $63 – $5.0k |
| 22 | Ambetter fee schedule · outpatient · +25 other terms | 128 | $166 | $166 | $111 | 67% | — | $32 – $1.0k |
| 23 | Devoted facility · fee schedule · outpatient · +21 other terms | 107 | $106 | $139 | $367 | 265% | — | $72 – $4.9k |
| 24 | Tricare facility · fee schedule · outpatient · +23 other terms | 96 | $105 | $189 | $412 | 218% | — | $76 – $4.6k |
| 25 | Oscar facility · fee schedule · outpatient · +23 other terms | 71 | $165 | $151 | $41 | 27% | — | $42 – $294 |
← Hospitals reporting CPT 76805 · Snapshot 20261111T120946Z-9134e7f7