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
NM TMR LOCL WB PLNR 2+DYS
Low
$422
Average
$1.9k
Median
$1.7k
High
$7.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
68 payers; the 90th percentile is 3.7× 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 | Anthem fee schedule · outpatient · +29 other terms | 170 | $1.5k | $1.1k | $1.3k | 113% | 2–20 | $12 – $10.8k |
| 2 | Aetna fee schedule · outpatient · +33 other terms | 619 | $1.3k | $2.2k | $3.0k | 134% | 1–10 | $1 – $75.7k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 452 | $1.3k | $1.4k | $1.1k | 82% | 1–10 | $1 – $10.4k |
| 4 | Cigna fee schedule · outpatient · +30 other terms | 391 | $1.9k | $2.6k | $2.0k | 77% | 1–10 | $46 – $22.7k |
| 5 | Humana fee schedule · outpatient · +29 other terms | 377 | $1.2k | $1.5k | $1.7k | 114% | 1–10 | $1 – $9.4k |
| 6 | Molina fee schedule · outpatient · +29 other terms | 232 | $732 | $802 | $452 | 56% | 1–10 | $1 – $3.1k |
| 7 | First Health fee schedule · outpatient · +20 other terms | 63 | $1.4k | $2.2k | $2.7k | 123% | 1–10 | $55 – $10.2k |
| 8 | Bcbs Al facility · other · outpatient · +3 other terms | 4 | $1.4k | $1.2k | $541 | 47% | 1–10 | $251 – $1.7k |
| 9 | UnitedHealthcare fee schedule · outpatient · +36 other terms | 692 | $1.6k | $1.7k | $1.5k | 85% | — | $1 – $38.4k |
| 10 | WellCare fee schedule · outpatient · +21 other terms | 159 | $859 | $986 | $580 | 59% | — | $49 – $3.1k |
| 11 | Ambetter facility · fee schedule · outpatient · +21 other terms | 108 | $987 | $1.5k | $1.0k | 68% | — | $561 – $7.3k |
| 12 | Kaiser fee schedule · outpatient · +24 other terms | 107 | $1.3k | $1.8k | $1.9k | 105% | — | $46 – $10.4k |
| 13 | MultiPlan fee schedule · outpatient · +22 other terms | 103 | $2.9k | $3.2k | $2.7k | 83% | — | $60 – $11.7k |
| 14 | Devoted facility · fee schedule · outpatient · +16 other terms | 94 | $577 | $828 | $548 | 66% | — | $484 – $5.0k |
| 15 | Caresource fee schedule · outpatient · +20 other terms | 79 | $859 | $949 | $336 | 35% | — | $1 – $1.7k |
| 16 | Tricare facility · fee schedule · outpatient · +20 other terms | 77 | $548 | $720 | $699 | 97% | — | $49 – $5.7k |
| 17 | Aetna Better Health fee schedule · outpatient · +17 other terms | 76 | $701 | $714 | $131 | 18% | — | $515 – $1.2k |
| 18 | Oscar facility · fee schedule · outpatient · +19 other terms | 67 | $1.0k | $1.3k | $587 | 46% | — | $351 – $2.5k |
| 19 | Highmark facility · fee schedule · outpatient · +21 other terms | 59 | $1.2k | $1.3k | $1.1k | 87% | — | $34 – $5.9k |
| 20 | Optum facility · fee schedule · outpatient · +20 other terms | 51 | $1.2k | $1.3k | $642 | 48% | — | $482 – $3.5k |
| 21 | Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms | 46 | $455 | $722 | $411 | 57% | — | $353 – $2.0k |
| 22 | Medicare facility · fee schedule · outpatient · +18 other terms | 42 | $576 | $856 | $660 | 77% | — | $271 – $4.9k |
| 23 | Medicaid facility · fee schedule · outpatient · +15 other terms | 41 | $667 | $776 | $472 | 61% | — | $172 – $1.8k |
| 24 | Clover facility · fee schedule · outpatient · +9 other terms | 37 | $579 | $711 | $331 | 47% | — | $502 – $1.5k |
| 25 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 34 | $633 | $852 | $331 | 39% | — | $543 – $1.4k |
← Hospitals reporting CPT 78804 · Snapshot 20261112T181611Z-3fa9fb76