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
PROF BH TELE ASSM IND EA 15 MN
Low
$21
Average
$24.7k
Median
$99
High
$251.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
35 payers; the 90th percentile is 3113.5× 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 | Humana fee schedule · outpatient · +10 other terms | 34 | $7 | $379 | $1.5k | 401% | — | $7 – $8.3k |
| 2 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $66 | $56 | $13 | 24% | — | $16 – $71 |
| 3 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 25 | $20 | $21 | $7 | 34% | — | $10 – $40 |
| 4 | Anthem fee schedule · outpatient · +7 other terms | 21 | $19 | $43 | $87 | 202% | — | $19 – $459 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 15 | $151 | $189 | $86 | 46% | — | $35 – $375 |
| 6 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 13 | $79 | $79 | — | — | — | $79 – $79 |
| 7 | Wellmark fee schedule · both · +1 other terms | 13 | $26 | $26 | $1 | 4% | — | $25 – $27 |
| 8 | Bcbs Mn fee schedule · outpatient · +1 other terms | 12 | $95 | $77 | $39 | 51% | — | $13 – $119 |
| 9 | Highmark fee schedule · outpatient · +6 other terms | 10 | $27 | $27 | $1 | 5% | — | $23 – $28 |
| 10 | Tricare fee schedule · outpatient · +5 other terms | 10 | $67 | $67 | — | — | — | $67 – $67 |
| 11 | Cigna fee schedule · both · +13 other terms | 6 | $44 | $57 | $21 | 37% | — | $43 – $97 |
| 12 | Aetna other · both · +13 other terms | 5 | $24 | $26 | $5 | 18% | — | $24 – $37 |
| 13 | First Health fee schedule · both · +8 other terms | 5 | $28 | $28 | — | — | — | $28 – $28 |
| 14 | Medicare facility · percent of total billed charges · outpatientfrom % of charges | 5 | $22 | $23 | $2 | 7% | — | $22 – $26 |
| 15 | Caresource professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 4 | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Molina facility · case rate · outpatient · +9 other terms | 4 | $236 | $251 | $56 | 22% | — | $189 – $342 |
| 17 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 4 | $204 | $172 | $55 | 32% | — | $76 – $204 |
| 18 | Medcost professional · fee schedule · inpatient · +1 other terms | 3 | $37 | $37 | — | — | — | $37 – $37 |
| 19 | Medicaid fee schedule · outpatient | 3 | $204 | $204 | — | — | — | $204 – $204 |
| 20 | Phcs professional · percent of total billed charges · inpatientfrom % of charges · +5 other terms | 3 | $77 | $68 | $13 | 19% | — | $49 – $77 |
| 21 | WellCare fee schedule · outpatient | 3 | $206 | $207 | $1 | 0% | — | $206 – $208 |
| 22 | Aetna Better Health fee schedule · inpatient · +2 other terms | 2 | $88 | $88 | — | — | — | $88 – $88 |
| 23 | Amerihealth Caritas case rate · outpatient · +1 other terms | 2 | $173 | $173 | — | — | — | $173 – $173 |
| 24 | Bcbs Nj facility · other · outpatient · +2 other terms | 2 | $55 | $55 | $3 | 5% | — | $52 – $58 |
| 25 | Clover facility · other · outpatient | 2 | $55 | $55 | $3 | 5% | — | $52 – $58 |
← Hospitals reporting CPT 96150 · Snapshot 20261112T181611Z-3fa9fb76