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
Cytp Flu Washgs/Brushings Xcpt C/V Smrs Interpj
Low
$27
Average
$116
Median
$109
High
$355
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 3.8× 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 | Anthem fee schedule · outpatient · +29 other terms | 209 | $63 | $95 | $109 | 116% | 8–80 | $1 – $1.1k |
| 2 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 798 | $39 | $50 | $49 | 97% | 5–50 | $1 – $1.2k |
| 3 | Molina fee schedule · outpatient · +33 other terms | 209 | $40 | $45 | $29 | 65% | 2–20 | $1 – $375 |
| 4 | Aetna fee schedule · outpatient · +35 other terms | 651 | $62 | $113 | $130 | 115% | 1–10 | $1 – $1.1k |
| 5 | Cigna fee schedule · outpatient · +31 other terms | 508 | $94 | $101 | $95 | 94% | — | $14 – $1.1k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 486 | $70 | $89 | $59 | 67% | — | $1 – $438 |
| 7 | Humana fee schedule · outpatient · +32 other terms | 399 | $47 | $117 | $358 | 305% | — | $1 – $11.8k |
| 8 | WellCare fee schedule · outpatient · +23 other terms | 162 | $41 | $48 | $22 | 46% | — | $17 – $192 |
| 9 | MultiPlan fee schedule · outpatient · +24 other terms | 128 | $126 | $126 | $90 | 71% | — | $1 – $439 |
| 10 | Kaiser fee schedule · outpatient · +23 other terms | 113 | $53 | $57 | $34 | 61% | — | $1 – $267 |
| 11 | Ambetter facility · fee schedule · outpatient · +22 other terms | 88 | $67 | $129 | $645 | 501% | — | $38 – $7.0k |
| 12 | Caresource fee schedule · outpatient · +20 other terms | 82 | $49 | $83 | $37 | 45% | — | $1 – $195 |
| 13 | Devoted facility · fee schedule · outpatient · +16 other terms | 82 | $37 | $88 | $486 | 555% | — | $20 – $4.9k |
| 14 | Tricare facility · fee schedule · outpatient · +21 other terms | 78 | $38 | $101 | $573 | 568% | — | $18 – $5.7k |
| 15 | Optum facility · fee schedule · outpatient · +20 other terms | 60 | $36 | $39 | $22 | 57% | — | $15 – $240 |
| 16 | Aetna Better Health fee schedule · outpatient · +19 other terms | 59 | $37 | $41 | $23 | 58% | — | $7 – $142 |
| 17 | Medicaid facility · fee schedule · outpatient · +17 other terms | 54 | $38 | $42 | $21 | 50% | — | $7 – $84 |
| 18 | Oscar facility · fee schedule · outpatient · +21 other terms | 51 | $55 | $55 | $10 | 19% | — | $36 – $70 |
| 19 | First Health fee schedule · outpatient · +21 other terms | 48 | $79 | $94 | $71 | 75% | — | $33 – $301 |
| 20 | Highmark facility · fee schedule · outpatient · +21 other terms | 46 | $43 | $119 | $479 | 403% | — | $7 – $3.8k |
| 21 | Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms | 41 | $34 | $33 | $13 | 40% | — | $7 – $99 |
| 22 | Medicare facility · fee schedule · outpatient · +18 other terms | 39 | $39 | $137 | $654 | 479% | — | $19 – $4.8k |
| 23 | Medica fee schedule · outpatient · +21 other terms | 38 | $120 | $120 | $62 | 52% | — | $7 – $305 |
| 24 | Clover facility · fee schedule · outpatient · +11 other terms | 36 | $39 | $39 | $3 | 8% | — | $33 – $46 |
| 25 | Phcs fee schedule · outpatient · +16 other terms | 28 | $244 | $270 | $90 | 33% | — | $171 – $454 |
← Hospitals reporting CPT 88104 · Snapshot 20261111T120946Z-9134e7f7