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
SENSITIVITIES FSI
Low
$7
Average
$66
Median
$58
High
$256
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
67 payers; the 90th percentile is 7.1× 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 · +31 other terms | 767 | $15 | $19 | $34 | 183% | 4–40 | $1 – $728 |
| 2 | Anthem fee schedule · outpatient · +23 other terms | 202 | $17 | $31 | $34 | 107% | 2–20 | $3 – $284 |
| 3 | Aetna fee schedule · outpatient · +28 other terms | 713 | $17 | $71 | $344 | 484% | — | $0 – $8.4k |
| 4 | Humana fee schedule · outpatient · +25 other terms | 510 | $15 | $33 | $48 | 147% | — | $1 – $728 |
| 5 | Cigna fee schedule · outpatient · +25 other terms | 492 | $29 | $38 | $41 | 109% | — | $5 – $521 |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +31 other terms | 485 | $22 | $37 | $38 | 103% | — | $1 – $312 |
| 7 | WellCare fee schedule · outpatient · +19 other terms | 306 | $15 | $17 | $12 | 68% | — | $11 – $179 |
| 8 | Molina fee schedule · outpatient · +28 other terms | 302 | $16 | $18 | $11 | 63% | — | $1 – $193 |
| 9 | Devoted fee schedule · outpatient · +13 other terms | 196 | $15 | $15 | $0 | 3% | — | $14 – $17 |
| 10 | Oscar fee schedule · outpatient · +18 other terms | 169 | $28 | $31 | $10 | 34% | — | $14 – $45 |
| 11 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 133 | $15 | $15 | $1 | 10% | — | $9 – $25 |
| 12 | Ambetter facility · fee schedule · outpatient · +21 other terms | 115 | $26 | $27 | $6 | 23% | — | $15 – $37 |
| 13 | Kaiser fee schedule · outpatient · +19 other terms | 113 | $15 | $29 | $48 | 164% | — | $5 – $454 |
| 14 | Aetna Better Health fee schedule · outpatient · +18 other terms | 111 | $13 | $12 | $7 | 56% | — | $5 – $51 |
| 15 | Caresource fee schedule · outpatient · +17 other terms | 84 | $15 | $25 | $34 | 134% | — | $1 – $182 |
| 16 | Tricare facility · fee schedule · outpatient · +17 other terms | 80 | $14 | $18 | $40 | 223% | — | $11 – $451 |
| 17 | MultiPlan fee schedule · outpatient · +19 other terms | 67 | $124 | $169 | $202 | 120% | — | $11 – $741 |
| 18 | Optum fee schedule · outpatient · +18 other terms | 67 | $15 | $17 | $7 | 38% | — | $13 – $42 |
| 19 | Highmark facility · fee schedule · outpatient · +17 other terms | 66 | $24 | $40 | $36 | 89% | — | $10 – $157 |
| 20 | First Health fee schedule · outpatient · +17 other terms | 55 | $26 | $35 | $41 | 117% | — | $12 – $216 |
| 21 | Superior Healthplan fee schedule · outpatient · +6 other terms | 55 | $15 | $54 | $29 | 54% | — | $12 – $222 |
| 22 | Amerihealth Caritas fee schedule · outpatient · +13 other terms | 54 | $13 | $11 | $7 | 62% | — | $2 – $27 |
| 23 | Medicare fee schedule · both · +12 other terms | 54 | $15 | $15 | $1 | 4% | — | $15 – $20 |
| 24 | Medicaid facility · fee schedule · outpatient · +16 other terms | 52 | $14 | $14 | $2 | 13% | — | $4 – $18 |
| 25 | Clover fee schedule · outpatient · +10 other terms | 49 | $15 | $15 | $0 | 2% | — | $15 – $15 |
← Hospitals reporting CPT 87118 · Snapshot 20261112T181611Z-3fa9fb76