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
HB OP OT RE EVAL
Low
$64
Average
$172
Median
$154
High
$482
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 payers; the 90th percentile is 3.2× 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 · +34 other terms | 590 | $69 | $123 | $664 | 539% | 4–40 | $1 – $25.9k |
| 2 | Bcbs Mt percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $196 | $196 | $2 | 1% | 4–40 | $195 – $200 |
| 3 | Aetna fee schedule · outpatient · +35 other terms | 638 | $72 | $132 | $96 | 73% | 2–20 | $1 – $862 |
| 4 | Humana fee schedule · outpatient · +31 other terms | 434 | $68 | $103 | $318 | 308% | 2–20 | $1 – $7.4k |
| 5 | Bcbs In fee schedule · both | 11 | $132 | $132 | $0 | 0% | 2–20 | $131 – $132 |
| 6 | Anthem fee schedule · outpatient · +31 other terms | 179 | $76 | $93 | $96 | 103% | 1–10 | $36 – $764 |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 469 | $101 | $139 | $97 | 69% | — | $1 – $744 |
| 8 | WellCare fee schedule · outpatient · +23 other terms | 271 | $66 | $67 | $10 | 15% | — | $21 – $146 |
| 9 | Cigna fee schedule · outpatient · +31 other terms | 239 | $91 | $136 | $120 | 88% | — | $28 – $1.8k |
| 10 | Molina fee schedule · outpatient · +30 other terms | 223 | $92 | $95 | $52 | 54% | — | $1 – $518 |
| 11 | Devoted fee schedule · outpatient · +17 other terms | 169 | $64 | $64 | $5 | 7% | — | $56 – $74 |
| 12 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 133 | $67 | $66 | $4 | 7% | — | $59 – $80 |
| 13 | Tricare facility · fee schedule · outpatient · +19 other terms | 110 | $66 | $67 | $22 | 34% | — | $55 – $265 |
| 14 | Ambetter facility · fee schedule · outpatient · +21 other terms | 97 | $118 | $103 | $29 | 28% | — | $69 – $213 |
| 15 | Kaiser fee schedule · outpatient · +22 other terms | 92 | $100 | $118 | $82 | 69% | — | $24 – $552 |
| 16 | Caresource fee schedule · outpatient · +20 other terms | 80 | $71 | $119 | $56 | 47% | — | $1 – $193 |
| 17 | Oscar fee schedule · outpatient · +18 other terms | 71 | $80 | $87 | $41 | 47% | — | $1 – $188 |
| 18 | MultiPlan fee schedule · outpatient · +19 other terms | 67 | $128 | $163 | $109 | 67% | — | $66 – $533 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +13 other terms | 65 | $58 | $70 | $29 | 42% | — | $28 – $208 |
| 20 | Medicaid facility · fee schedule · outpatient · +17 other terms | 61 | $62 | $66 | $20 | 30% | — | $12 – $219 |
| 21 | Optum fee schedule · outpatient · +22 other terms | 61 | $69 | $87 | $41 | 47% | — | $58 – $252 |
| 22 | Medicare fee schedule · both · +16 other terms | 60 | $66 | $77 | $6 | 8% | — | $62 – $95 |
| 23 | Highmark facility · fee schedule · outpatient · +17 other terms | 59 | $52 | $84 | $56 | 67% | — | $27 – $357 |
| 24 | Aetna Better Health fee schedule · outpatient · +17 other terms | 56 | $52 | $76 | $44 | 58% | — | $35 – $261 |
| 25 | Superior Healthplan fee schedule · outpatient · +5 other terms | 48 | $68 | $69 | $18 | 25% | — | $62 – $265 |
← Hospitals reporting CPT 97168 · Snapshot 20261111T120946Z-9134e7f7