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
HB Special Teletx Port Plan
Low
$39
Average
$693
Median
$579
High
$2.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 4.8× 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 | Cigna fee schedule · outpatient · +33 other terms | 362 | $404 | $685 | $1.1k | 153% | 204 | $39 – $15.6k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +32 other terms | 411 | $350 | $396 | $445 | 112% | 47 | $1 – $3.1k |
| 3 | Humana fee schedule · outpatient · +30 other terms | 353 | $362 | $327 | $329 | 101% | 35 | $1 – $2.9k |
| 4 | Bcbs Mt fee schedule · outpatient · +1 other terms | 1 | $840 | $840 | — | — | 12 | $840 – $840 |
| 5 | Anthem fee schedule · outpatient · +29 other terms | 136 | $261 | $307 | $433 | 141% | 8–80 | $8 – $2.9k |
| 6 | Bcbs In other · both | 11 | $1.4k | $1.4k | $222 | 16% | 2–20 | $909 – $1.8k |
| 7 | UnitedHealthcare fee schedule · outpatient · +37 other terms | 422 | $376 | $506 | $778 | 154% | 1–10 | $1 – $10.8k |
| 8 | Molina fee schedule · outpatient · +29 other terms | 153 | $367 | $334 | $246 | 74% | 1–10 | $1 – $1.3k |
| 9 | Aetna fee schedule · outpatient · +35 other terms | 593 | $357 | $397 | $594 | 150% | — | $1 – $8.4k |
| 10 | WellCare fee schedule · outpatient · +22 other terms | 155 | $367 | $351 | $185 | 53% | — | $45 – $858 |
| 11 | Ambetter fee schedule · outpatient · +19 other terms | 95 | $546 | $458 | $346 | 76% | — | $45 – $1.8k |
| 12 | Kaiser fee schedule · outpatient · +24 other terms | 91 | $533 | $605 | $508 | 84% | — | $39 – $2.8k |
| 13 | MultiPlan fee schedule · outpatient · +22 other terms | 80 | $1.1k | $1.1k | $1.1k | 101% | — | $59 – $4.1k |
| 14 | Devoted facility · fee schedule · outpatient · +16 other terms | 76 | $365 | $432 | $483 | 112% | — | $337 – $4.9k |
| 15 | Caresource fee schedule · outpatient · +20 other terms | 66 | $315 | $208 | $192 | 92% | — | $1 – $813 |
| 16 | Tricare facility · fee schedule · outpatient · +19 other terms | 56 | $373 | $433 | $526 | 122% | — | $38 – $4.6k |
| 17 | Oscar facility · fee schedule · outpatient · +23 other terms | 55 | $527 | $503 | $177 | 35% | — | $84 – $704 |
| 18 | Optum fee schedule · outpatient · +22 other terms | 53 | $340 | $891 | $1.4k | 158% | — | $1 – $7.7k |
| 19 | Highmark facility · fee schedule · outpatient · +21 other terms | 49 | $512 | $548 | $417 | 76% | — | $33 – $1.7k |
| 20 | Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms | 35 | $66 | $192 | $160 | 84% | — | $35 – $476 |
| 21 | Clover fee schedule · outpatient · +12 other terms | 34 | $400 | $396 | $26 | 7% | — | $338 – $452 |
| 22 | Medicaid facility · fee schedule · outpatient · +16 other terms | 32 | $227 | $214 | $149 | 70% | — | $32 – $584 |
| 23 | Medicare facility · fee schedule · outpatient · +19 other terms | 31 | $392 | $532 | $713 | 134% | — | $334 – $4.8k |
| 24 | Regence professional · fee schedule · outpatient · +21 other terms | 31 | $45 | $76 | $41 | 54% | — | $41 – $232 |
| 25 | Aetna Better Health fee schedule · outpatient · +17 other terms | 27 | $209 | $209 | $110 | 53% | — | $82 – $419 |
← Hospitals reporting CPT 77321 · Snapshot 20261111T120946Z-9134e7f7