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 HAST W I&R
Low
$32
Average
$183
Median
$168
High
$557
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.3× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 331 | $144 | $213 | $249 | 117% | 2–20 | $1 – $3.8k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 337 | $237 | $269 | $166 | 62% | 1–10 | $1 – $937 |
| 3 | Anthem fee schedule · outpatient · +24 other terms | 102 | $149 | $107 | $140 | 131% | 1–10 | $2 – $974 |
| 4 | Optum fee schedule · outpatient · +20 other terms | 43 | $129 | $207 | $154 | 75% | 1–10 | $37 – $593 |
| 5 | Aetna fee schedule · outpatient · +29 other terms | 398 | $141 | $235 | $628 | 267% | — | $1 – $8.4k |
| 6 | Humana fee schedule · outpatient · +27 other terms | 297 | $131 | $187 | $494 | 264% | — | $1 – $8.3k |
| 7 | Cigna fee schedule · outpatient · +23 other terms | 172 | $138 | $172 | $128 | 74% | — | $20 – $688 |
| 8 | WellCare fee schedule · outpatient · +20 other terms | 135 | $130 | $142 | $55 | 39% | — | $14 – $302 |
| 9 | Molina fee schedule · outpatient · +24 other terms | 130 | $147 | $163 | $78 | 48% | — | $1 – $510 |
| 10 | Kaiser fee schedule · outpatient · +20 other terms | 74 | $191 | $221 | $168 | 76% | — | $30 – $993 |
| 11 | Devoted fee schedule · outpatient · +12 other terms | 69 | $135 | $124 | $31 | 25% | — | $37 – $149 |
| 12 | Ambetter facility · fee schedule · outpatient · +16 other terms | 65 | $236 | $343 | $841 | 245% | — | $68 – $7.1k |
| 13 | Caresource fee schedule · outpatient · +14 other terms | 51 | $137 | $138 | $40 | 29% | — | $1 – $227 |
| 14 | Oscar fee schedule · outpatient · +19 other terms | 48 | $254 | $183 | $118 | 64% | — | $1 – $380 |
| 15 | MultiPlan fee schedule · outpatient · +19 other terms | 46 | $242 | $280 | $149 | 53% | — | $121 – $1.1k |
| 16 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $382 | $362 | $164 | 45% | — | $121 – $733 |
| 17 | Clover fee schedule · outpatient · +10 other terms | 31 | $141 | $138 | $8 | 6% | — | $120 – $152 |
| 18 | First Health fee schedule · outpatient · +15 other terms | 29 | $207 | $249 | $134 | 54% | — | $121 – $467 |
| 19 | Regence professional · fee schedule · outpatient · +15 other terms | 29 | $23 | $48 | $129 | 270% | — | $14 – $903 |
| 20 | Tricare fee schedule · outpatient · +12 other terms | 28 | $121 | $116 | $20 | 17% | — | $88 – $158 |
| 21 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $169 | $168 | $34 | 20% | — | $127 – $221 |
| 22 | Highmark facility · fee schedule · outpatient · +16 other terms | 24 | $152 | $186 | $128 | 69% | — | $11 – $446 |
| 23 | Medicare fee schedule · outpatient · +15 other terms | 24 | $37 | $55 | $39 | 71% | — | $31 – $133 |
| 24 | Superior Healthplan facility · fee schedule · outpatient · +4 other terms | 21 | $140 | $138 | $3 | 2% | — | $134 – $141 |
| 25 | Medica fee schedule · outpatient · +15 other terms | 18 | $111 | $118 | $47 | 40% | — | $14 – $200 |
← Hospitals reporting CPT 94452 · Snapshot 20261112T181611Z-3fa9fb76