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 HEPATITIS B SURF AG EIA NEUT
Low
$6
Average
$49
Median
$36
High
$203
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
68 payers; the 90th percentile is 6.5× 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 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 522 | $16 | $29 | $31 | 109% | 73–100 | $1 – $403 |
| 2 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $17 | $17 | $7 | 39% | 71–80 | $10 – $24 |
| 3 | Bcbs Al other · outpatient · +3 other terms | 2 | $15 | $13 | $6 | 48% | 22 | $9 – $22 |
| 4 | Superior Healthplan fee schedule · outpatient · +5 other terms | 59 | $11 | $42 | $45 | 108% | 13 | $9 – $218 |
| 5 | Aetna fee schedule · outpatient · +28 other terms | 723 | $13 | $48 | $334 | 688% | 10–100 | $0 – $8.4k |
| 6 | Anthem fee schedule · outpatient · +24 other terms | 217 | $16 | $21 | $25 | 116% | 10–100 | $2 – $284 |
| 7 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 801 | $10 | $14 | $19 | 139% | 9–90 | $1 – $410 |
| 8 | Humana fee schedule · outpatient · +24 other terms | 531 | $11 | $24 | $33 | 137% | 2–20 | $1 – $456 |
| 9 | Cigna fee schedule · outpatient · +25 other terms | 505 | $21 | $23 | $20 | 87% | 2–20 | $5 – $348 |
| 10 | Molina fee schedule · outpatient · +24 other terms | 287 | $12 | $13 | $9 | 72% | 2–20 | $1 – $193 |
| 11 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 135 | $11 | $11 | $1 | 8% | 1–10 | $6 – $18 |
| 12 | Caresource fee schedule · outpatient · +14 other terms | 100 | $11 | $15 | $18 | 117% | 1–10 | $1 – $234 |
| 13 | Optum fee schedule · outpatient · +19 other terms | 75 | $10 | $24 | $28 | 119% | 1–10 | $10 – $130 |
| 14 | First Health fee schedule · outpatient · +16 other terms | 69 | $21 | $25 | $27 | 110% | 1–10 | $8 – $140 |
| 15 | Premera fee schedule · outpatient · +7 other terms | 17 | $12 | $18 | $34 | 187% | 1–10 | $10 – $256 |
| 16 | WellCare fee schedule · outpatient · +16 other terms | 304 | $11 | $12 | $6 | 53% | — | $8 – $111 |
| 17 | Devoted fee schedule · outpatient · +13 other terms | 184 | $10 | $10 | $0 | 2% | — | $10 – $12 |
| 18 | Oscar fee schedule · outpatient · +17 other terms | 168 | $20 | $22 | $7 | 34% | — | $10 – $32 |
| 19 | Kaiser fee schedule · outpatient · +18 other terms | 125 | $11 | $15 | $14 | 93% | — | $5 – $148 |
| 20 | Ambetter fee schedule · outpatient · +18 other terms | 113 | $17 | $15 | $6 | 36% | — | $7 – $51 |
| 21 | Aetna Better Health fee schedule · outpatient · +17 other terms | 106 | $10 | $10 | $4 | 40% | — | $7 – $39 |
| 22 | MultiPlan fee schedule · outpatient · +17 other terms | 97 | $58 | $65 | $64 | 99% | — | $9 – $527 |
| 23 | Amerihealth Caritas fee schedule · outpatient · +12 other terms | 67 | $11 | $12 | $3 | 28% | — | $1 – $27 |
| 24 | Highmark facility · fee schedule · outpatient · +16 other terms | 67 | $17 | $24 | $23 | 99% | — | $7 – $133 |
| 25 | Tricare fee schedule · outpatient · +14 other terms | 56 | $10 | $12 | $2 | 21% | — | $9 – $16 |
← Hospitals reporting CPT 87341 · Snapshot 20261111T120946Z-9134e7f7