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
Noner transport mini-bus
Low
$0
Average
$101
Median
$59
High
$449
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 25.9× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +8 other terms | 28 | $55 | $69 | $60 | 87% | — | $10 – $194 |
| 2 | Wellmark fee schedule · both | 13 | $194 | $194 | — | — | — | $194 – $194 |
| 3 | Medica fee schedule · both · +2 other terms | 9 | $200 | $200 | — | — | — | $200 – $200 |
| 4 | Ucare fee schedule · both · +1 other terms | 9 | $205 | $205 | $10 | 5% | — | $193 – $218 |
| 5 | UnitedHealthcare other · outpatient · +5 other terms | 9 | $757 | $756 | $113 | 15% | — | $627 – $904 |
| 6 | Bcbs Mn fee schedule · both · +1 other terms | 8 | $218 | $218 | — | — | — | $218 – $218 |
| 7 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 5 | $1 | $1 | $1 | 75% | — | $0 – $3 |
| 9 | Humana fee schedule · inpatient · +1 other terms | 5 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | First Health professional · fee schedule · both · +1 other terms | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 11 | Molina facility · fee schedule · outpatient | 3 | $18 | $20 | $3 | 14% | — | $18 – $24 |
| 12 | MultiPlan percent of total billed charges · bothfrom % of charges · +2 other terms | 3 | $78 | $78 | — | — | — | $78 – $78 |
| 13 | Anthem facility · fee schedule · outpatient · +2 other terms | 2 | $139 | $139 | $61 | 44% | — | $78 – $200 |
| 14 | Highmark fee schedule · both · +1 other terms | 2 | $58 | $76 | $34 | 45% | — | $21 – $114 |
| 15 | Optum facility · fee schedule · outpatient | 2 | $2 | $2 | $0 | 7% | — | $2 – $2 |
| 16 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Bcbs Nv fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Cigna fee schedule · both · +4 other terms | 1 | $26 | $26 | — | — | — | $26 – $26 |
← Hospitals reporting HCPCS A0120 · Snapshot 20261112T181611Z-3fa9fb76