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; INTERMED
Low
$0
Average
$260
Median
$173
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +22 other terms | 294 | $258 | $531 | $641 | 121% | — | $1 – $8.4k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 220 | $388 | $389 | $269 | 69% | — | $0 – $1.4k |
| 3 | Humana fee schedule · outpatient · +18 other terms | 220 | $106 | $362 | $522 | 144% | — | $64 – $2.0k |
| 4 | UnitedHealthcare fee schedule · outpatient · +24 other terms | 133 | $108 | $157 | $299 | 190% | — | $1 – $4.0k |
| 5 | Anthem fee schedule · outpatient · +16 other terms | 94 | $376 | $319 | $241 | 75% | — | $99 – $1.3k |
| 6 | Cigna fee schedule · outpatient · +19 other terms | 65 | $130 | $266 | $173 | 65% | — | $99 – $907 |
| 7 | Kaiser fee schedule · both · +11 other terms | 46 | $228 | $197 | $117 | 60% | — | $89 – $420 |
| 8 | Molina facility · case rate · outpatient · +12 other terms | 39 | $93 | $107 | $37 | 34% | — | $55 – $213 |
| 9 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $487 | $524 | $167 | 32% | — | $178 – $863 |
| 10 | WellCare fee schedule · both · +9 other terms | 30 | $98 | $107 | $22 | 20% | — | $83 – $175 |
| 11 | Regence professional · fee schedule · outpatient · +3 other terms | 27 | $105 | $178 | $85 | 48% | — | $100 – $337 |
| 12 | Ambetter fee schedule · outpatient · +9 other terms | 22 | $259 | $233 | $94 | 40% | — | $116 – $337 |
| 13 | Caresource fee schedule · outpatient · +9 other terms | 21 | $90 | $93 | $7 | 7% | — | $74 – $104 |
| 14 | Devoted fee schedule · outpatient · +5 other terms | 21 | $108 | $107 | $1 | 1% | — | $106 – $108 |
| 15 | Aetna Better Health fee schedule · outpatient · +10 other terms | 19 | $101 | $105 | $9 | 8% | — | $98 – $120 |
| 16 | Medicare fee schedule · outpatient · +5 other terms | 19 | $106 | $104 | $3 | 3% | — | $99 – $108 |
| 17 | Medicaid fee schedule · outpatient · +6 other terms | 17 | $93 | $117 | $53 | 46% | — | $88 – $232 |
| 18 | Highmark fee schedule · outpatient · +9 other terms | 16 | $129 | $155 | $121 | 78% | — | $91 – $1.3k |
| 19 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 14 | $191 | $191 | $15 | 8% | — | $175 – $206 |
| 20 | Optum facility · case rate · outpatient · +9 other terms | 14 | $88 | $97 | $22 | 22% | — | $71 – $147 |
| 21 | Medica fee schedule · outpatient · +7 other terms | 13 | $364 | $343 | $122 | 35% | — | $102 – $486 |
| 22 | Wellmark fee schedule · both · +5 other terms | 13 | $186 | $186 | $51 | 27% | — | $103 – $252 |
| 23 | Amerihealth Caritas fee schedule · both · +9 other terms | 12 | $88 | $88 | — | — | — | $88 – $88 |
| 24 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $1.8k | $1.2k | $891 | 72% | — | $124 – $2.2k |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $78 | $82 | $13 | 15% | — | $78 – $124 |
← Hospitals reporting CPT 77262 · Snapshot 20261112T181611Z-3fa9fb76