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 ICE CUBE TEST
Low
$12
Average
$99
Median
$60
High
$665
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 9.3× 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 | Aetna fee schedule · outpatient · +21 other terms | 318 | $29 | $140 | $779 | 557% | — | $1 – $8.4k |
| 2 | UnitedHealthcare fee schedule · outpatient · +20 other terms | 264 | $30 | $57 | $68 | 118% | — | $6 – $720 |
| 3 | Humana fee schedule · outpatient · +17 other terms | 211 | $27 | $97 | $679 | 700% | — | $1 – $8.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +18 other terms | 157 | $32 | $55 | $66 | 120% | — | $0 – $1.0k |
| 5 | Cigna fee schedule · outpatient · +16 other terms | 125 | $30 | $41 | $26 | 63% | — | $22 – $150 |
| 6 | WellCare fee schedule · outpatient · +7 other terms | 109 | $27 | $31 | $10 | 32% | — | $6 – $57 |
| 7 | Molina fee schedule · outpatient · +12 other terms | 96 | $31 | $46 | $69 | 149% | — | $21 – $719 |
| 8 | Anthem fee schedule · outpatient · +14 other terms | 87 | $25 | $23 | $41 | 177% | — | $0 – $212 |
| 9 | Devoted fee schedule · outpatient · +6 other terms | 64 | $27 | $28 | $2 | 8% | — | $24 – $32 |
| 10 | Kaiser fee schedule · outpatient · +6 other terms | 58 | $42 | $54 | $34 | 63% | — | $24 – $196 |
| 11 | Ambetter facility · fee schedule · outpatient · +5 other terms | 48 | $49 | $194 | $998 | 515% | — | $13 – $7.0k |
| 12 | Optum fee schedule · outpatient · +7 other terms | 33 | $29 | $38 | $21 | 55% | — | $13 – $107 |
| 13 | Caresource facility · fee schedule · outpatient · +6 other terms | 27 | $45 | $405 | $1.6k | 384% | — | $28 – $7.9k |
| 14 | Clover fee schedule · outpatient · +5 other terms | 26 | $27 | $28 | $2 | 6% | — | $24 – $33 |
| 15 | Oscar facility · fee schedule · outpatient · +11 other terms | 26 | $41 | $41 | $11 | 27% | — | $13 – $54 |
| 16 | Bcbs Tx fee schedule · outpatient | 23 | $24 | $24 | $1 | 3% | — | $23 – $25 |
| 17 | Tricare fee schedule · outpatient · +7 other terms | 21 | $26 | $21 | $7 | 35% | — | $12 – $28 |
| 18 | MultiPlan fee schedule · outpatient · +11 other terms | 20 | $48 | $47 | $4 | 9% | — | $23 – $49 |
| 19 | Medicare fee schedule · outpatient · +5 other terms | 18 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Highmark fee schedule · outpatient · +5 other terms | 16 | $35 | $39 | $58 | 146% | — | $11 – $719 |
| 21 | Medical Mutual facility · fee schedule · outpatient · +4 other terms | 16 | $28 | $317 | $1.3k | 398% | — | $15 – $6.0k |
| 22 | Regence facility · case rate · outpatient · +4 other terms | 16 | $30 | $36 | $18 | 49% | — | $23 – $93 |
| 23 | Ucare case rate · outpatient · +5 other terms | 15 | $26 | $25 | $0 | 2% | — | $25 – $26 |
| 24 | Bcbs Mn fee schedule · outpatient · +3 other terms | 13 | $25 | $36 | $22 | 62% | — | $13 – $105 |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $27 | $58 | $39 | 67% | — | $27 – $118 |
← Hospitals reporting CPT 95199 · Snapshot 20261113T090226Z-3ce6c0b8