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
Atc Eval Low Complexity
Low
$21
Average
$819
Median
$136
High
$16.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
45 payers; the 90th percentile is 11.9× 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 · +14 other terms | 114 | $162 | $174 | $73 | 42% | — | $0 – $357 |
| 2 | Aetna fee schedule · outpatient · +17 other terms | 102 | $166 | $320 | $793 | 248% | — | $1 – $8.4k |
| 3 | UnitedHealthcare fee schedule · outpatient · +19 other terms | 69 | $130 | $145 | $104 | 72% | — | $1 – $560 |
| 4 | Humana fee schedule · outpatient · +14 other terms | 59 | $379 | $281 | $187 | 66% | — | $1 – $516 |
| 5 | Cigna fee schedule · outpatient · +18 other terms | 48 | $291 | $265 | $122 | 46% | — | $44 – $521 |
| 6 | Bcbs Tx fee schedule · outpatient · +3 other terms | 31 | $205 | $187 | $70 | 38% | — | $19 – $346 |
| 7 | Anthem fee schedule · outpatient · +12 other terms | 17 | $59 | $59 | — | — | — | $59 – $59 |
| 8 | Caresource facility · case rate · outpatient · +6 other terms | 15 | $63 | $68 | $16 | 23% | — | $42 – $108 |
| 9 | Molina facility · case rate · outpatient · +9 other terms | 15 | $62 | $68 | $16 | 23% | — | $44 – $106 |
| 10 | Regence fee schedule · outpatient · +7 other terms | 15 | $60 | $76 | $27 | 36% | — | $47 – $156 |
| 11 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 13 | $133 | $813 | $4.6k | 568% | — | $61 – $33.5k |
| 12 | Wellmark fee schedule · both | 13 | $58 | $58 | — | — | — | $58 – $58 |
| 13 | Bcbs Nj other · outpatient | 12 | $66 | $66 | — | — | — | $66 – $66 |
| 14 | Medica fee schedule · outpatient · +7 other terms | 12 | $107 | $109 | $32 | 29% | — | $63 – $208 |
| 15 | MultiPlan fee schedule · outpatient · +12 other terms | 12 | $65 | $81 | $60 | 74% | — | $19 – $236 |
| 16 | Optum facility · case rate · outpatient · +7 other terms | 11 | $59 | $64 | $14 | 22% | — | $53 – $96 |
| 17 | Ambetter other · outpatient · +3 other terms | 10 | $161 | $161 | — | — | — | $161 – $161 |
| 18 | Highmark fee schedule · outpatient · +3 other terms | 10 | $53 | $53 | $1 | 2% | — | $50 – $53 |
| 19 | Healthpartners facility · per diem · outpatient · +5 other terms | 9 | $75 | $75 | $4 | 6% | — | $70 – $80 |
| 20 | Aetna Better Health fee schedule · outpatient · +1 other terms | 8 | $39 | $40 | $3 | 7% | — | $39 – $48 |
| 21 | Kaiser facility · fee schedule · outpatient · +4 other terms | 7 | $128 | $128 | — | — | — | $128 – $128 |
| 22 | Bcbs Id fee schedule · outpatient · +3 other terms | 4 | $198 | $198 | — | — | — | $198 – $198 |
| 23 | Ucare professional · percent of total billed charges · outpatientfrom % of charges | 4 | $191 | $183 | $9 | 5% | — | $168 – $191 |
| 24 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $129 | $134 | $8 | 6% | — | $128 – $145 |
| 25 | First Health fee schedule · outpatient · +9 other terms | 3 | $19 | $36 | $34 | 95% | — | $14 – $103 |
← Hospitals reporting CPT 97169 · Snapshot 20261113T090226Z-3ce6c0b8