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
H PYLORI AG IA
Low
$8
Average
$52
Median
$31
High
$492
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 payers; the 90th percentile is 6.3× 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 · +23 other terms | 663 | $16 | $19 | $15 | 81% | — | $5 – $373 |
| 2 | Aetna fee schedule · outpatient · +19 other terms | 637 | $18 | $63 | $405 | 645% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +19 other terms | 463 | $16 | $36 | $43 | 118% | — | $12 – $373 |
| 4 | Cigna fee schedule · outpatient · +18 other terms | 446 | $30 | $38 | $25 | 65% | — | $5 – $182 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 407 | $22 | $34 | $25 | 74% | — | $1 – $210 |
| 6 | WellCare fee schedule · outpatient · +10 other terms | 280 | $16 | $17 | $3 | 15% | — | $16 – $32 |
| 7 | Molina fee schedule · outpatient · +15 other terms | 226 | $23 | $22 | $10 | 44% | — | $5 – $48 |
| 8 | Devoted fee schedule · outpatient · +5 other terms | 195 | $16 | $16 | $0 | 3% | — | $16 – $19 |
| 9 | Oscar fee schedule · outpatient · +8 other terms | 165 | $31 | $34 | $11 | 33% | — | $16 – $49 |
| 10 | Anthem fee schedule · outpatient · +14 other terms | 154 | $23 | $31 | $29 | 92% | — | $4 – $120 |
| 11 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 126 | $17 | $16 | $0 | 3% | — | $16 – $17 |
| 12 | Kaiser fee schedule · outpatient · +9 other terms | 89 | $16 | $22 | $15 | 67% | — | $5 – $114 |
| 13 | Ambetter fee schedule · outpatient · +11 other terms | 88 | $27 | $24 | $7 | 28% | — | $10 – $43 |
| 14 | Caresource fee schedule · outpatient · +8 other terms | 69 | $16 | $18 | $4 | 20% | — | $15 – $32 |
| 15 | Optum fee schedule · outpatient · +8 other terms | 49 | $16 | $21 | $9 | 43% | — | $16 – $46 |
| 16 | Clover fee schedule · outpatient · +6 other terms | 47 | $16 | $16 | $0 | 2% | — | $16 – $17 |
| 17 | Superior Healthplan fee schedule · outpatient · +3 other terms | 43 | $17 | $17 | $1 | 4% | — | $16 – $26 |
| 18 | Bcbs Tx fee schedule · outpatient · +4 other terms | 33 | $62 | $66 | $28 | 42% | — | $16 – $138 |
| 19 | Tricare fee schedule · outpatient · +9 other terms | 30 | $16 | $16 | $1 | 4% | — | $13 – $17 |
| 20 | Healthcare Highways fee schedule · outpatient · +2 other terms | 29 | $37 | $36 | $5 | 15% | — | $20 – $39 |
| 21 | Amerihealth Caritas fee schedule · outpatient · +6 other terms | 28 | $20 | $20 | $3 | 16% | — | $14 – $27 |
| 22 | Regence facility · fee schedule · outpatient · +5 other terms | 26 | $17 | $20 | $9 | 44% | — | $14 – $48 |
| 23 | Aetna Better Health fee schedule · outpatient · +8 other terms | 24 | $15 | $15 | $1 | 7% | — | $14 – $17 |
| 24 | Medicare fee schedule · outpatient · +6 other terms | 23 | $16 | $16 | $0 | 1% | — | $16 – $16 |
| 25 | MultiPlan fee schedule · outpatient · +15 other terms | 22 | $113 | $58 | $57 | 97% | — | $16 – $217 |
← Hospitals reporting CPT 87339 · Snapshot 20261112T181611Z-3fa9fb76