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
PR TILT TABLE EVAL W/WO DRUG
Low
$155
Average
$1.5k
Median
$881
High
$17.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 8.3× 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 | Bcbs Al facility · other · outpatient · +5 other terms | 4 | $254 | $263 | $17 | 7% | 147 | $231 – $289 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +32 other terms | 397 | $402 | $530 | $567 | 107% | 63–108 | $1 – $5.6k |
| 3 | Medicare other · both · +21 other terms | 40 | $395 | $446 | $184 | 41% | 27–162 | $349 – $1.8k |
| 4 | Molina fee schedule · outpatient · +28 other terms | 160 | $515 | $430 | $223 | 52% | 17–44 | $1 – $1.0k |
| 5 | Humana fee schedule · outpatient · +33 other terms | 304 | $488 | $641 | $889 | 139% | 10–100 | $1 – $8.3k |
| 6 | Aetna fee schedule · outpatient · +36 other terms | 452 | $480 | $897 | $2.8k | 316% | 5–50 | $1 – $53.2k |
| 7 | Wellmark case rate · outpatient · +21 other terms | 14 | $499 | $1.7k | $5.1k | 293% | 5–50 | $299 – $21.9k |
| 8 | Anthem fee schedule · outpatient · +31 other terms | 127 | $533 | $355 | $529 | 149% | 4–40 | $8 – $6.5k |
| 9 | UnitedHealthcare fee schedule · outpatient · +36 other terms | 492 | $636 | $1.7k | $3.3k | 196% | 2–20 | $1 – $28.7k |
| 10 | Cigna fee schedule · outpatient · +32 other terms | 185 | $499 | $778 | $1.1k | 136% | 2–20 | $64 – $7.4k |
| 11 | First Health fee schedule · outpatient · +20 other terms | 42 | $1.3k | $1.7k | $1.4k | 82% | 2–20 | $156 – $4.6k |
| 12 | Medica fee schedule · outpatient · +23 other terms | 27 | $560 | $784 | $857 | 109% | 2–20 | $87 – $3.5k |
| 13 | Bcbs In other · both | 11 | $1.4k | $1.4k | $221 | 16% | 1–10 | $906 – $1.8k |
| 14 | WellCare fee schedule · outpatient · +23 other terms | 136 | $497 | $597 | $609 | 102% | — | $73 – $4.3k |
| 15 | Oscar case rate · outpatient · +23 other terms | 127 | $2.5k | $2.6k | $613 | 24% | — | $830 – $7.5k |
| 16 | Ambetter facility · fee schedule · outpatient · +22 other terms | 100 | $671 | $874 | $732 | 84% | — | $226 – $7.1k |
| 17 | MultiPlan fee schedule · outpatient · +24 other terms | 98 | $2.2k | $2.2k | $1.6k | 71% | — | $163 – $8.3k |
| 18 | Kaiser fee schedule · outpatient · +25 other terms | 96 | $798 | $950 | $963 | 101% | — | $64 – $7.8k |
| 19 | Devoted facility · fee schedule · outpatient · +18 other terms | 90 | $396 | $486 | $541 | 111% | — | $49 – $4.9k |
| 20 | Tricare facility · fee schedule · outpatient · +20 other terms | 74 | $375 | $439 | $553 | 126% | — | $46 – $5.7k |
| 21 | Optum fee schedule · outpatient · +24 other terms | 61 | $483 | $1.0k | $1.4k | 135% | — | $75 – $5.9k |
| 22 | Highmark facility · fee schedule · outpatient · +20 other terms | 53 | $825 | $841 | $603 | 72% | — | $67 – $2.6k |
| 23 | Healthcare Highways case rate · outpatient · +5 other terms | 52 | $21.6k | $23.1k | $2.7k | 12% | — | $20.5k – $27.8k |
| 24 | Caresource fee schedule · outpatient · +24 other terms | 50 | $568 | $659 | $724 | 110% | — | $1 – $4.3k |
| 25 | Superior Healthplan case rate · outpatient · +7 other terms | 46 | $6.7k | $6.6k | $1.3k | 19% | — | $797 – $7.8k |
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