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
facility
Low
$43
Average
$765
Median
$340
High
$6.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Wellmark fee schedule · outpatient · +23 other terms | 25 | $216 | $215 | $19 | 9% | 174 | $198 – $330 |
| 2 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 144 | $205 | $266 | $206 | 78% | 78–87 | $0 – $1.4k |
| 3 | Humana fee schedule · outpatient · +23 other terms | 192 | $222 | $433 | $453 | 104% | 25 | $1 – $1.6k |
| 4 | Anthem fee schedule · outpatient · +26 other terms | 99 | $244 | $284 | $152 | 53% | 6–60 | $57 – $1.1k |
| 5 | Bcbs Mt percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | $7 | 4% | 4–40 | $179 – $196 |
| 6 | Bcbs Al facility · other · outpatient | 1 | $198 | $198 | — | — | 1–10 | $198 – $198 |
| 7 | Bcbs Ny fee schedule · both · +1 other terms | 1 | $226 | $226 | — | — | 1–10 | $226 – $226 |
| 8 | Cigna fee schedule · outpatient · +22 other terms | 263 | $357 | $629 | $371 | 59% | — | $74 – $2.1k |
| 9 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 239 | $384 | $468 | $270 | 58% | — | $0 – $1.4k |
| 10 | Aetna fee schedule · outpatient · +28 other terms | 137 | $220 | $464 | $586 | 126% | — | $1 – $8.4k |
| 11 | MultiPlan fee schedule · inpatient · +18 other terms | 52 | $539 | $549 | $272 | 50% | — | $126 – $1.3k |
| 12 | Medica fee schedule · outpatient · +17 other terms | 49 | $237 | $387 | $162 | 42% | — | $73 – $878 |
| 13 | Caresource fee schedule · outpatient · +18 other terms | 44 | $228 | $205 | $61 | 30% | — | $1 – $342 |
| 14 | Molina facility · case rate · outpatient · +26 other terms | 39 | $88 | $46 | $38 | 83% | — | $11 – $175 |
| 15 | Tricare facility · fee schedule · outpatient · +17 other terms | 30 | $225 | $252 | $162 | 64% | — | $14 – $957 |
| 16 | Medcost facility · percent of total billed charges · bothfrom % of charges · +8 other terms | 27 | $214 | $239 | $109 | 46% | — | $121 – $568 |
| 17 | Medicaid fee schedule · both · +15 other terms | 23 | $249 | $219 | $87 | 40% | — | $76 – $392 |
| 18 | Carefirst facility · fee schedule · both · +13 other terms | 21 | $216 | $271 | $110 | 41% | — | $216 – $700 |
| 19 | Excellus facility · fee schedule · both · +16 other terms | 21 | $216 | $257 | $95 | 37% | — | $216 – $700 |
| 20 | Highmark facility · fee schedule · both · +19 other terms | 21 | $216 | $271 | $110 | 41% | — | $216 – $700 |
| 21 | Premera facility · fee schedule · both · +12 other terms | 21 | $216 | $271 | $111 | 41% | — | $216 – $700 |
| 22 | Regence facility · fee schedule · both · +16 other terms | 21 | $216 | $270 | $113 | 42% | — | $216 – $700 |
| 23 | Bcbs Tx fee schedule · outpatient · +3 other terms | 19 | $817 | $754 | $206 | 27% | — | $272 – $1.1k |
| 24 | Aetna Better Health fee schedule · outpatient · +14 other terms | 18 | $208 | $198 | $20 | 10% | — | $147 – $215 |
| 25 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms | 18 | $599 | $570 | $196 | 34% | — | $213 – $842 |
← Hospitals reporting CPT 90750 · Snapshot 20261111T120946Z-9134e7f7