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 & O2 TITRATION
Low
$42
Average
$210
Median
$180
High
$745
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 4.6× 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 | UnitedHealthcare fee schedule · outpatient · +36 other terms | 335 | $144 | $219 | $249 | 114% | 2–20 | $1 – $3.8k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 339 | $243 | $286 | $173 | 61% | 1–10 | $1 – $1.0k |
| 3 | Optum fee schedule · outpatient · +20 other terms | 42 | $129 | $210 | $153 | 73% | 1–10 | $49 – $593 |
| 4 | Aetna fee schedule · outpatient · +29 other terms | 400 | $141 | $237 | $628 | 265% | — | $1 – $8.4k |
| 5 | Humana fee schedule · outpatient · +28 other terms | 294 | $139 | $212 | $502 | 237% | — | $1 – $8.3k |
| 6 | Cigna fee schedule · outpatient · +25 other terms | 173 | $139 | $174 | $125 | 72% | — | $27 – $688 |
| 7 | WellCare fee schedule · outpatient · +18 other terms | 137 | $130 | $141 | $55 | 39% | — | $19 – $302 |
| 8 | Molina fee schedule · outpatient · +23 other terms | 129 | $152 | $167 | $77 | 46% | — | $1 – $510 |
| 9 | Anthem fee schedule · outpatient · +25 other terms | 103 | $174 | $132 | $155 | 118% | — | $2 – $1.2k |
| 10 | Kaiser fee schedule · outpatient · +21 other terms | 74 | $193 | $230 | $182 | 79% | — | $40 – $1.4k |
| 11 | Devoted fee schedule · outpatient · +11 other terms | 69 | $135 | $125 | $28 | 22% | — | $49 – $149 |
| 12 | Ambetter facility · fee schedule · outpatient · +15 other terms | 65 | $236 | $344 | $841 | 245% | — | $92 – $7.1k |
| 13 | Caresource fee schedule · outpatient · +13 other terms | 51 | $137 | $139 | $39 | 28% | — | $1 – $227 |
| 14 | Oscar fee schedule · outpatient · +18 other terms | 48 | $254 | $186 | $114 | 61% | — | $1 – $380 |
| 15 | MultiPlan fee schedule · outpatient · +17 other terms | 45 | $244 | $292 | $195 | 67% | — | $121 – $1.5k |
| 16 | Bcbs Tx fee schedule · outpatient · +3 other terms | 31 | $382 | $362 | $164 | 45% | — | $121 – $733 |
| 17 | Clover fee schedule · outpatient · +9 other terms | 31 | $141 | $138 | $8 | 6% | — | $120 – $152 |
| 18 | First Health fee schedule · outpatient · +14 other terms | 29 | $210 | $260 | $145 | 56% | — | $121 – $566 |
| 19 | Tricare fee schedule · outpatient · +13 other terms | 28 | $121 | $116 | $20 | 17% | — | $88 – $158 |
| 20 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $169 | $168 | $34 | 20% | — | $127 – $221 |
| 21 | Medicare fee schedule · outpatient · +13 other terms | 24 | $49 | $64 | $34 | 54% | — | $42 – $133 |
| 22 | Highmark facility · fee schedule · outpatient · +17 other terms | 22 | $153 | $206 | $126 | 62% | — | $14 – $446 |
| 23 | Regence professional · fee schedule · outpatient · +15 other terms | 22 | $32 | $36 | $24 | 65% | — | $18 – $164 |
| 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 | $133 | $150 | $58 | 38% | — | $18 – $229 |
← Hospitals reporting CPT 94453 · Snapshot 20261112T181611Z-3fa9fb76