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 DIFFERENTIAL MANUAL WBC COUNT
Low
$2
Average
$29
Median
$24
High
$173
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
70 payers; the 90th percentile is 10.0× 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 | 891 | $4 | $7 | $14 | 197% | 826–1,429 | $1 – $320 |
| 2 | Anthem fee schedule · outpatient · +27 other terms | 248 | $5 | $9 | $17 | 177% | 806–1,121 | $1 – $291 |
| 3 | Aetna fee schedule · outpatient · +33 other terms | 815 | $5 | $22 | $232 | 1040% | 482–887 | $0 – $8.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +32 other terms | 603 | $6 | $13 | $21 | 154% | 442–766 | $0 – $291 |
| 5 | Cigna fee schedule · outpatient · +29 other terms | 577 | $8 | $12 | $14 | 119% | 353–461 | $2 – $160 |
| 6 | Molina fee schedule · outpatient · +29 other terms | 325 | $4 | $5 | $8 | 162% | 193–247 | $1 – $197 |
| 7 | Humana fee schedule · outpatient · +28 other terms | 607 | $4 | $9 | $12 | 130% | 132–240 | $1 – $78 |
| 8 | Bcbs Al facility · other · outpatient · +5 other terms | 4 | $8 | $8 | $1 | 11% | 78–87 | $7 – $10 |
| 9 | First Health fee schedule · outpatient · +17 other terms | 74 | $10 | $34 | $55 | 163% | 76 | $3 – $281 |
| 10 | Optum fee schedule · outpatient · +20 other terms | 83 | $4 | $9 | $13 | 137% | 26–35 | $3 – $58 |
| 11 | Kaiser fee schedule · outpatient · +18 other terms | 131 | $4 | $13 | $29 | 221% | 11–110 | $2 – $208 |
| 12 | Medica fee schedule · outpatient · +16 other terms | 48 | $17 | $19 | $25 | 128% | 5–50 | $2 – $143 |
| 13 | Ambetter fee schedule · outpatient · +21 other terms | 138 | $6 | $6 | $3 | 46% | 3–30 | $2 – $24 |
| 14 | WellCare fee schedule · outpatient · +19 other terms | 354 | $4 | $4 | $2 | 48% | 2–20 | $1 – $32 |
| 15 | Caresource fee schedule · outpatient · +16 other terms | 115 | $4 | $7 | $6 | 96% | 2–20 | $1 – $33 |
| 16 | Wellmark facility · fee schedule · both · +16 other terms | 39 | $5 | $9 | $7 | 79% | 1–10 | $3 – $35 |
| 17 | Healthpartners fee schedule · outpatient · +10 other terms | 28 | $11 | $11 | $2 | 21% | 1–10 | $4 – $13 |
| 18 | Sanford Health Plan fee schedule · outpatient · +12 other terms | 23 | $11 | $28 | $32 | 117% | 1–10 | $4 – $142 |
| 19 | Devoted fee schedule · outpatient · +15 other terms | 197 | $4 | $4 | $0 | 2% | — | $4 – $4 |
| 20 | Oscar fee schedule · outpatient · +17 other terms | 168 | $7 | $8 | $3 | 34% | — | $1 – $12 |
| 21 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 150 | $4 | $4 | $0 | 9% | — | $2 – $6 |
| 22 | MultiPlan fee schedule · outpatient · +19 other terms | 124 | $62 | $59 | $54 | 91% | — | $1 – $324 |
| 23 | Aetna Better Health fee schedule · outpatient · +19 other terms | 123 | $3 | $4 | $2 | 49% | — | $2 – $15 |
| 24 | Tricare facility · fee schedule · outpatient · +17 other terms | 108 | $4 | $5 | $8 | 169% | — | $2 – $94 |
| 25 | Highmark facility · fee schedule · outpatient · +17 other terms | 62 | $6 | $9 | $7 | 77% | — | $3 – $34 |
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