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
Dosimetry Calculation Basic
Low
$47
Average
$368
Median
$292
High
$2.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 5.6× 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 | Medicare other · both · +22 other terms | 43 | $143 | $162 | $108 | 67% | 19,441–19,459 | $51 – $936 |
| 2 | Ucare professional · fee schedule · outpatient · +20 other terms | 21 | $31 | $43 | $23 | 54% | 479 | $15 – $119 |
| 3 | Anthem fee schedule · outpatient · +31 other terms | 144 | $180 | $251 | $413 | 165% | 224–287 | $4 – $2.6k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +33 other terms | 422 | $144 | $184 | $164 | 89% | 148–166 | $1 – $2.6k |
| 5 | Bcbs Al facility · other · outpatient · +4 other terms | 3 | $300 | $302 | $16 | 5% | 146–173 | $280 – $330 |
| 6 | UnitedHealthcare fee schedule · outpatient · +38 other terms | 450 | $139 | $322 | $544 | 169% | 144–189 | $1 – $4.4k |
| 7 | Bcbs In other · both | 11 | $490 | $506 | $80 | 16% | 85 | $326 – $651 |
| 8 | Humana fee schedule · outpatient · +32 other terms | 376 | $138 | $182 | $306 | 168% | 38–47 | $1 – $3.2k |
| 9 | Cigna fee schedule · outpatient · +34 other terms | 383 | $182 | $492 | $1.5k | 295% | 34–79 | $29 – $19.2k |
| 10 | Optum fee schedule · outpatient · +25 other terms | 54 | $122 | $714 | $1.4k | 202% | 29–38 | $1 – $7.7k |
| 11 | Aetna fee schedule · outpatient · +36 other terms | 615 | $137 | $285 | $562 | 198% | 28–136 | $1 – $8.4k |
| 12 | Molina fee schedule · outpatient · +31 other terms | 161 | $139 | $154 | $156 | 101% | 17 | $1 – $1.3k |
| 13 | Medica fee schedule · outpatient · +24 other terms | 24 | $131 | $142 | $111 | 78% | 5–50 | $31 – $935 |
| 14 | WellCare fee schedule · outpatient · +24 other terms | 172 | $140 | $136 | $51 | 37% | — | $32 – $311 |
| 15 | Ambetter fee schedule · outpatient · +21 other terms | 97 | $209 | $210 | $189 | 90% | — | $32 – $1.9k |
| 16 | Kaiser fee schedule · outpatient · +25 other terms | 93 | $195 | $222 | $188 | 85% | — | $29 – $1.3k |
| 17 | MultiPlan fee schedule · outpatient · +22 other terms | 88 | $552 | $651 | $908 | 140% | — | $44 – $3.7k |
| 18 | Devoted facility · fee schedule · outpatient · +18 other terms | 80 | $131 | $190 | $499 | 263% | — | $120 – $4.9k |
| 19 | Caresource fee schedule · outpatient · +21 other terms | 63 | $124 | $114 | $63 | 55% | — | $1 – $663 |
| 20 | Tricare facility · fee schedule · outpatient · +20 other terms | 63 | $135 | $189 | $475 | 252% | — | $29 – $4.6k |
| 21 | Highmark facility · fee schedule · outpatient · +22 other terms | 59 | $188 | $202 | $152 | 75% | — | $23 – $642 |
| 22 | Oscar facility · fee schedule · outpatient · +23 other terms | 55 | $189 | $182 | $54 | 30% | — | $63 – $253 |
| 23 | Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms | 43 | $46 | $116 | $118 | 102% | — | $24 – $476 |
| 24 | Clover facility · fee schedule · outpatient · +13 other terms | 36 | $142 | $141 | $10 | 7% | — | $122 – $156 |
| 25 | Medicaid facility · fee schedule · outpatient · +18 other terms | 35 | $128 | $180 | $192 | 107% | — | $22 – $1.1k |
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