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
PRO FEE RT TX PLAN; SIMPLE
Low
$0
Average
$195
Median
$122
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 5.4× 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 | Aetna fee schedule · outpatient · +22 other terms | 292 | $170 | $380 | $613 | 161% | — | $1 – $8.4k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +20 other terms | 219 | $257 | $258 | $179 | 69% | — | $0 – $898 |
| 3 | Humana fee schedule · outpatient · +20 other terms | 219 | $68 | $240 | $347 | 144% | — | $42 – $1.3k |
| 4 | UnitedHealthcare fee schedule · outpatient · +23 other terms | 131 | $70 | $121 | $302 | 249% | — | $1 – $4.0k |
| 5 | Anthem fee schedule · outpatient · +14 other terms | 95 | $244 | $210 | $156 | 74% | — | $65 – $862 |
| 6 | Cigna fee schedule · outpatient · +19 other terms | 65 | $87 | $169 | $112 | 66% | — | $64 – $602 |
| 7 | Kaiser fee schedule · both · +13 other terms | 44 | $152 | $130 | $77 | 59% | — | $59 – $275 |
| 8 | Molina facility · case rate · outpatient · +13 other terms | 39 | $90 | $94 | $28 | 30% | — | $36 – $170 |
| 9 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $323 | $347 | $111 | 32% | — | $118 – $573 |
| 10 | WellCare fee schedule · both · +11 other terms | 30 | $64 | $70 | $13 | 19% | — | $54 – $112 |
| 11 | Regence professional · fee schedule · outpatient · +6 other terms | 26 | $69 | $117 | $56 | 48% | — | $69 – $220 |
| 12 | Ambetter fee schedule · outpatient · +10 other terms | 22 | $169 | $153 | $62 | 40% | — | $78 – $222 |
| 13 | Caresource fee schedule · outpatient · +10 other terms | 21 | $58 | $60 | $5 | 9% | — | $49 – $68 |
| 14 | Devoted fee schedule · outpatient · +7 other terms | 21 | $70 | $69 | $1 | 1% | — | $68 – $70 |
| 15 | Medicare fee schedule · outpatient · +7 other terms | 19 | $68 | $67 | $2 | 3% | — | $64 – $70 |
| 16 | Aetna Better Health fee schedule · outpatient · +9 other terms | 18 | $65 | $69 | $7 | 10% | — | $64 – $79 |
| 17 | Medicaid fee schedule · outpatient · +7 other terms | 17 | $61 | $78 | $36 | 47% | — | $57 – $156 |
| 18 | Highmark fee schedule · outpatient · +11 other terms | 16 | $85 | $108 | $124 | 115% | — | $60 – $1.3k |
| 19 | Optum facility · case rate · outpatient · +7 other terms | 14 | $86 | $92 | $23 | 25% | — | $71 – $147 |
| 20 | Wellmark fee schedule · both · +5 other terms | 13 | $120 | $120 | $33 | 27% | — | $67 – $165 |
| 21 | Amerihealth Caritas fee schedule · both · +8 other terms | 12 | $58 | $58 | — | — | — | $58 – $58 |
| 22 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $1.8k | $1.2k | $926 | 77% | — | $80 – $2.2k |
| 23 | Bcbs Nj fee schedule · outpatient | 12 | $51 | $53 | $8 | 15% | — | $51 – $80 |
| 24 | Cigna Healthspring fee schedule · both · +2 other terms | 12 | $66 | $66 | $1 | 1% | — | $66 – $69 |
| 25 | Medica fee schedule · outpatient · +6 other terms | 12 | $240 | $226 | $80 | 35% | — | $66 – $318 |
← Hospitals reporting CPT 77261 · Snapshot 20261112T181611Z-3fa9fb76