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 Ref T3 Free
Low
$11
Average
$425
Median
$65
High
$8.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 17.2× 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 · +38 other terms | 876 | $17 | $23 | $31 | 134% | 2,969–3,482 | $1 – $563 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 607 | $26 | $51 | $59 | 115% | 2,325–2,766 | $1 – $416 |
| 3 | Anthem fee schedule · outpatient · +28 other terms | 247 | $20 | $36 | $41 | 116% | 1,439–1,763 | $1 – $368 |
| 4 | Aetna fee schedule · outpatient · +36 other terms | 803 | $22 | $61 | $233 | 385% | 735–1,149 | $0 – $8.4k |
| 5 | Cigna fee schedule · outpatient · +28 other terms | 560 | $35 | $42 | $39 | 94% | 449–575 | $1 – $368 |
| 6 | Bcbs Al facility · other · outpatient · +5 other terms | 5 | $18 | $18 | $1 | 8% | 280–316 | $17 – $22 |
| 7 | Humana fee schedule · outpatient · +31 other terms | 594 | $17 | $41 | $61 | 148% | 236–497 | $1 – $594 |
| 8 | Optum fee schedule · outpatient · +21 other terms | 84 | $17 | $27 | $19 | 72% | 93 | $5 – $97 |
| 9 | Ambetter fee schedule · outpatient · +21 other terms | 139 | $28 | $27 | $21 | 75% | 81–99 | $11 – $261 |
| 10 | Molina fee schedule · outpatient · +32 other terms | 329 | $18 | $20 | $13 | 63% | 39–93 | $1 – $240 |
| 11 | Healthpartners fee schedule · outpatient · +13 other terms | 28 | $51 | $47 | $10 | 22% | 33–51 | $17 – $58 |
| 12 | First Health fee schedule · outpatient · +19 other terms | 76 | $35 | $42 | $49 | 116% | 13–22 | $3 – $224 |
| 13 | WellCare fee schedule · outpatient · +23 other terms | 339 | $17 | $20 | $16 | 78% | 9–90 | $7 – $238 |
| 14 | Kaiser fee schedule · outpatient · +22 other terms | 130 | $17 | $24 | $25 | 108% | 8–80 | $1 – $180 |
| 15 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 152 | $17 | $17 | $2 | 10% | 6–60 | $10 – $29 |
| 16 | Sanford Health Plan fee schedule · outpatient · +15 other terms | 23 | $47 | $66 | $64 | 96% | 4–40 | $17 – $264 |
| 17 | Caresource fee schedule · outpatient · +17 other terms | 115 | $19 | $28 | $36 | 132% | 3–30 | $1 – $276 |
| 18 | Superior Healthplan fee schedule · outpatient · +7 other terms | 67 | $18 | $69 | $83 | 121% | 2–20 | $14 – $358 |
| 19 | Bcbs Ar fee schedule · both | 1 | $19 | $19 | — | — | 2–20 | $19 – $19 |
| 20 | Aetna Better Health fee schedule · outpatient · +19 other terms | 125 | $15 | $17 | $11 | 62% | 1–10 | $9 – $80 |
| 21 | Wellmark facility · fee schedule · both · +21 other terms | 41 | $21 | $38 | $29 | 77% | 1–10 | $15 – $113 |
| 22 | Devoted fee schedule · outpatient · +17 other terms | 198 | $17 | $17 | $0 | 3% | — | $16 – $19 |
| 23 | Oscar fee schedule · outpatient · +19 other terms | 168 | $33 | $35 | $12 | 34% | — | $9 – $52 |
| 24 | MultiPlan fee schedule · outpatient · +22 other terms | 124 | $101 | $122 | $133 | 110% | — | $4 – $545 |
| 25 | Tricare facility · fee schedule · outpatient · +18 other terms | 121 | $17 | $20 | $24 | 118% | — | $5 – $224 |
← Hospitals reporting CPT 84481 · Snapshot 20261111T120946Z-9134e7f7