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
AMMONIUM
Low
$9
Average
$377
Median
$62
High
$7.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 10.9× 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 | UnitedHealthcare fee schedule · outpatient · +37 other terms | 880 | $15 | $20 | $27 | 135% | 224–692 | $1 – $505 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +33 other terms | 608 | $24 | $48 | $63 | 133% | 149–617 | $1 – $1.4k |
| 3 | Anthem fee schedule · outpatient · +25 other terms | 250 | $20 | $38 | $54 | 143% | 102–471 | $3 – $443 |
| 4 | Molina fee schedule · outpatient · +30 other terms | 329 | $16 | $18 | $10 | 57% | 95–149 | $1 – $196 |
| 5 | Aetna fee schedule · outpatient · +32 other terms | 807 | $19 | $58 | $313 | 539% | 86–662 | $0 – $8.4k |
| 6 | Humana fee schedule · outpatient · +27 other terms | 595 | $15 | $33 | $44 | 133% | 56–335 | $1 – $407 |
| 7 | Cigna fee schedule · outpatient · +29 other terms | 559 | $32 | $39 | $43 | 110% | 21–111 | $5 – $548 |
| 8 | WellCare fee schedule · outpatient · +20 other terms | 339 | $15 | $16 | $6 | 36% | 15–24 | $10 – $85 |
| 9 | First Health fee schedule · outpatient · +18 other terms | 76 | $60 | $97 | $146 | 151% | 12–21 | $6 – $827 |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 133 | $16 | $37 | $69 | 189% | 9–90 | $2 – $632 |
| 11 | Caresource fee schedule · outpatient · +17 other terms | 117 | $15 | $19 | $15 | 79% | 9–90 | $1 – $132 |
| 12 | Bcbs Al facility · other · outpatient · +5 other terms | 5 | $18 | $19 | $2 | 10% | 7–70 | $16 – $21 |
| 13 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 152 | $15 | $15 | $2 | 12% | 4–40 | $9 – $25 |
| 14 | Healthpartners fee schedule · outpatient · +12 other terms | 28 | $44 | $40 | $9 | 22% | 3–30 | $15 – $49 |
| 15 | Optum fee schedule · outpatient · +21 other terms | 84 | $15 | $37 | $61 | 164% | 2–20 | $14 – $306 |
| 16 | Bcbs Ar fee schedule · both | 1 | $16 | $16 | — | — | 2–20 | $16 – $16 |
| 17 | Aetna Better Health fee schedule · outpatient · +19 other terms | 125 | $14 | $14 | $3 | 24% | 1–10 | $8 – $50 |
| 18 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $24 | $24 | $9 | 39% | 1–10 | $15 – $33 |
| 19 | Devoted fee schedule · outpatient · +17 other terms | 197 | $15 | $15 | $0 | 3% | — | $14 – $16 |
| 20 | Oscar fee schedule · outpatient · +18 other terms | 168 | $28 | $31 | $10 | 34% | — | $14 – $45 |
| 21 | Ambetter fee schedule · outpatient · +21 other terms | 139 | $24 | $23 | $13 | 56% | — | $9 – $127 |
| 22 | Tricare facility · fee schedule · outpatient · +19 other terms | 128 | $14 | $19 | $29 | 156% | — | $3 – $259 |
| 23 | MultiPlan fee schedule · outpatient · +20 other terms | 123 | $172 | $158 | $151 | 96% | — | $6 – $827 |
| 24 | Highmark facility · fee schedule · outpatient · +18 other terms | 81 | $24 | $31 | $30 | 95% | — | $5 – $144 |
| 25 | Medicaid facility · fee schedule · outpatient · +17 other terms | 70 | $13 | $14 | $3 | 23% | — | $5 – $34 |
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