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
Med Serv Eve/Wkend/Holid
Low
$0
Average
$240
Median
$42
High
$5.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 13.4× 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 | Molina facility · case rate · outpatient · +14 other terms | 30 | $19 | $23 | $13 | 56% | 2–20 | $7 – $58 |
| 2 | UnitedHealthcare fee schedule · outpatient · +24 other terms | 63 | $33 | $44 | $26 | 59% | — | $1 – $115 |
| 3 | Aetna fee schedule · outpatient · +20 other terms | 60 | $24 | $400 | $1.4k | 352% | — | $5 – $8.4k |
| 4 | Cigna fee schedule · outpatient · +18 other terms | 33 | $45 | $66 | $34 | 52% | — | $5 – $120 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 31 | $30 | $46 | $39 | 86% | — | $0 – $137 |
| 6 | Humana fee schedule · outpatient · +17 other terms | 31 | $43 | $336 | $1.4k | 403% | — | $7 – $8.3k |
| 7 | Anthem fee schedule · outpatient · +14 other terms | 25 | $21 | $22 | $6 | 28% | — | $15 – $55 |
| 8 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $17 |
| 9 | Medicaid fee schedule · outpatient · +3 other terms | 14 | $32 | $30 | $9 | 30% | — | $15 – $56 |
| 10 | Optum facility · case rate · outpatient · +3 other terms | 14 | $10 | $13 | $6 | 49% | — | $8 – $27 |
| 11 | Wellmark fee schedule · both · +6 other terms | 13 | $49 | $49 | — | — | — | $49 – $49 |
| 12 | Amerihealth Caritas fee schedule · both · +4 other terms | 12 | $27 | $27 | — | — | — | $27 – $27 |
| 13 | Highmark fee schedule · outpatient · +5 other terms | 12 | $20 | $20 | $2 | 11% | — | $8 – $40 |
| 14 | Medcost fee schedule · both · +2 other terms | 12 | $45 | $45 | — | — | — | $45 – $45 |
| 15 | WellCare fee schedule · both · +11 other terms | 12 | $27 | $27 | $0 | 0% | — | $26 – $27 |
| 16 | Bcbs Nc fee schedule · both · +1 other terms | 11 | $47 | $48 | $6 | 12% | — | $42 – $55 |
| 17 | Medica fee schedule · outpatient · +4 other terms | 10 | $36 | $36 | $9 | 25% | — | $22 – $46 |
| 18 | Aetna Better Health fee schedule · inpatient · +5 other terms | 9 | $10 | $25 | $27 | 109% | — | $10 – $75 |
| 19 | First Health professional · fee schedule · both · +11 other terms | 8 | $1 | $5 | $5 | 109% | — | $1 – $11 |
| 20 | Bcbs Il professional · fee schedule · both | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $59 | $59 | $20 | 33% | — | $30 – $74 |
| 22 | Tricare facility · fee schedule · outpatient · +6 other terms | 7 | $41 | $3.6k | $12.9k | 353% | — | $16 – $50k |
| 23 | Cigna Healthspring other · outpatient | 6 | $84 | $136 | $81 | 60% | — | $14 – $246 |
| 24 | Ambetter other · outpatient · +7 other terms | 5 | $18 | $17 | $2 | 12% | — | $14 – $19 |
| 25 | Bcbs Ms fee schedule · outpatient · +1 other terms | 5 | $16 | $16 | $1 | 6% | — | $15 – $18 |
← Hospitals reporting CPT 99051 · Snapshot 20261112T181611Z-3fa9fb76