Low
$17
Average
$440
Median
$172
High
$3.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 40.7× 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 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 36 | $134 | $160 | $71 | 44% | — | $14 – $409 |
| 2 | Aetna fee schedule · outpatient · +17 other terms | 14 | $238 | $207 | $72 | 35% | — | $28 – $238 |
| 3 | Tricare fee schedule · outpatient · +4 other terms | 10 | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Cigna fee schedule · both · +17 other terms | 5 | $53 | $51 | $3 | 7% | — | $44 – $53 |
| 5 | First Health fee schedule · both · +6 other terms | 5 | $51 | $51 | — | — | — | $51 – $51 |
| 6 | UnitedHealthcare fee schedule · outpatient · +17 other terms | 5 | $74 | $73 | $50 | 68% | — | $15 – $158 |
| 7 | Anthem case rate · outpatient · +9 other terms | 4 | $410 | $378 | $227 | 60% | — | $59 – $716 |
| 8 | Humana fee schedule · outpatient · +12 other terms | 4 | $2.8k | $3.2k | $3.3k | 104% | — | $34 – $8.3k |
| 9 | Phcs fee schedule · both · +4 other terms | 4 | $51 | $51 | — | — | — | $51 – $51 |
| 10 | Ambetter professional · percent of total billed charges · inpatientfrom % of charges · +4 other terms | 3 | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $185 | $185 | — | — | — | $185 – $185 |
| 12 | Molina fee schedule · outpatient · +3 other terms | 3 | $114 | $98 | $51 | 52% | — | $33 – $158 |
| 13 | Aetna Better Health fee schedule · inpatient | 2 | $137 | $137 | — | — | — | $137 – $137 |
| 14 | Caresource fee schedule · outpatient · +1 other terms | 2 | $70 | $70 | $35 | 51% | — | $34 – $105 |
| 15 | Excellus fee schedule · outpatient · +1 other terms | 2 | $93 | $92 | $53 | 57% | — | $19 – $158 |
| 16 | Kaiser fee schedule · both · +5 other terms | 2 | $71 | $71 | — | — | — | $71 – $71 |
| 17 | Magellan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $242 | $306 | $116 | 38% | — | $122 – $451 |
| 18 | Oscar facility · per diem · outpatient · +5 other terms | 2 | $9.0k | $2.9k | $6.0k | 207% | — | $450 – $17.5k |
| 19 | WellCare other · both · +1 other terms | 2 | $26 | $26 | $10 | 37% | — | $16 – $35 |
| 20 | Amerihealth Caritas facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Bcbs Ca facility · fee schedule · outpatient · +2 other terms | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 22 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | $3 | 10% | — | $22 – $27 |
| 23 | Devoted facility · other · outpatient · +1 other terms | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 24 | Healthpartners facility · fee schedule · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 25 | Highmark fee schedule · outpatient · +2 other terms | 1 | $31 | $31 | $12 | 39% | — | $19 – $42 |
← Hospitals reporting CPT 97004 · Snapshot 20261113T090226Z-3ce6c0b8