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
HC BCR/ALB1 OTR BREAKPOINT, QUAL OR QUAN
Low
$109
Average
$341
Median
$302
High
$809
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 2.6× 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 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 448 | $280 | $407 | $336 | 83% | 16–25 | $0 – $2.7k |
| 2 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $493 | $493 | — | — | 15 | $493 – $493 |
| 3 | Anthem fee schedule · outpatient · +19 other terms | 192 | $236 | $353 | $363 | 103% | 7–70 | $11 – $1.6k |
| 4 | UnitedHealthcare fee schedule · outpatient · +25 other terms | 705 | $215 | $221 | $115 | 52% | 3–30 | $1 – $1.9k |
| 5 | Aetna fee schedule · outpatient · +21 other terms | 665 | $230 | $440 | $519 | 118% | 3–30 | $0 – $8.4k |
| 6 | Humana fee schedule · outpatient · +22 other terms | 474 | $217 | $430 | $493 | 115% | 2–20 | $1 – $2.3k |
| 7 | Cigna fee schedule · outpatient · +21 other terms | 452 | $394 | $407 | $300 | 74% | 2–20 | $5 – $2.2k |
| 8 | WellCare fee schedule · outpatient · +13 other terms | 264 | $221 | $225 | $37 | 17% | 2–20 | $97 – $427 |
| 9 | Molina fee schedule · outpatient · +24 other terms | 251 | $239 | $252 | $122 | 48% | 2–20 | $1 – $923 |
| 10 | Premera fee schedule · outpatient · +5 other terms | 17 | $257 | $265 | $82 | 31% | 1–10 | $215 – $701 |
| 11 | Devoted fee schedule · outpatient · +12 other terms | 186 | $215 | $217 | $6 | 3% | — | $210 – $248 |
| 12 | Oscar fee schedule · outpatient · +16 other terms | 163 | $415 | $460 | $154 | 33% | — | $210 – $657 |
| 13 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 124 | $223 | $217 | $9 | 4% | — | $189 – $232 |
| 14 | Kaiser fee schedule · outpatient · +15 other terms | 116 | $216 | $221 | $179 | 81% | — | $5 – $1.0k |
| 15 | Ambetter fee schedule · outpatient · +14 other terms | 105 | $354 | $311 | $109 | 35% | — | $88 – $666 |
| 16 | Aetna Better Health fee schedule · outpatient · +16 other terms | 89 | $195 | $194 | $19 | 10% | — | $112 – $227 |
| 17 | Optum fee schedule · outpatient · +14 other terms | 67 | $215 | $264 | $105 | 40% | — | $210 – $616 |
| 18 | MultiPlan fee schedule · outpatient · +14 other terms | 57 | $343 | $344 | $284 | 82% | — | $3 – $1.9k |
| 19 | First Health fee schedule · outpatient · +14 other terms | 55 | $215 | $227 | $158 | 70% | — | $27 – $816 |
| 20 | Caresource fee schedule · outpatient · +10 other terms | 54 | $219 | $224 | $53 | 24% | — | $1 – $429 |
| 21 | Superior Healthplan fee schedule · outpatient · +5 other terms | 51 | $225 | $229 | $16 | 7% | — | $180 – $343 |
| 22 | Amerihealth Caritas fee schedule · outpatient · +9 other terms | 48 | $217 | $231 | $52 | 23% | — | $135 – $322 |
| 23 | Medica facility · fee schedule · outpatient · +14 other terms | 47 | $215 | $223 | $59 | 26% | — | $73 – $555 |
| 24 | Medicaid facility · fee schedule · outpatient · +12 other terms | 43 | $191 | $185 | $43 | 23% | — | $112 – $270 |
| 25 | Clover fee schedule · outpatient · +5 other terms | 41 | $219 | $220 | $5 | 2% | — | $215 – $225 |
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