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
Non-adju cgm supply allow
Low
$72
Average
$336
Median
$296
High
$873
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.3× 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 | Humana fee schedule · outpatient · +10 other terms | 296 | $271 | $289 | $102 | 35% | — | $125 – $1.1k |
| 2 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 292 | $275 | $275 | $29 | 11% | — | $151 – $369 |
| 3 | Aetna fee schedule · outpatient · +7 other terms | 277 | $276 | $317 | $171 | 54% | — | $153 – $1.9k |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 190 | $281 | $290 | $46 | 16% | — | $268 – $533 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 177 | $281 | $369 | $125 | 34% | — | $0 – $1.1k |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $273 | $274 | $5 | 2% | — | $268 – $289 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $281 | $278 | $7 | 3% | — | $273 – $295 |
| 8 | Molina fee schedule · outpatient · +4 other terms | 95 | $402 | $375 | $142 | 38% | — | $268 – $716 |
| 9 | Cigna fee schedule · outpatient · +8 other terms | 85 | $281 | $334 | $108 | 32% | — | $268 – $801 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 73 | $268 | $278 | $23 | 8% | — | $268 – $445 |
| 11 | Superior Healthplan fee schedule · outpatient | 40 | $287 | $287 | $1 | 0% | — | $268 – $287 |
| 12 | Kaiser fee schedule · outpatient · +4 other terms | 39 | $268 | $272 | $5 | 2% | — | $268 – $279 |
| 13 | Clover fee schedule · outpatient · +1 other terms | 37 | $273 | $277 | $9 | 3% | — | $268 – $287 |
| 14 | Bcbs Tx fee schedule · outpatient | 31 | $321 | $333 | $103 | 31% | — | $252 – $1.2k |
| 15 | Optum fee schedule · outpatient · +1 other terms | 25 | $273 | $318 | $132 | 41% | — | $268 – $683 |
| 16 | Caresource fee schedule · outpatient · +4 other terms | 24 | $273 | $307 | $59 | 19% | — | $273 – $410 |
| 17 | Oscar fee schedule · outpatient · +2 other terms | 24 | $268 | $276 | $9 | 3% | — | $268 – $287 |
| 18 | Medicare fee schedule · outpatient | 18 | $268 | $268 | — | — | — | $268 – $268 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 16 | $328 | $325 | $6 | 2% | — | $312 – $328 |
| 20 | Ambetter fee schedule · outpatient · +5 other terms | 14 | $493 | $498 | $53 | 11% | — | $415 – $560 |
| 21 | Wellmark fee schedule · both · +1 other terms | 13 | $268 | $266 | $9 | 3% | — | $228 – $268 |
| 22 | Aetna Better Health fee schedule · outpatient · +2 other terms | 12 | $129 | $187 | $69 | 37% | — | $129 – $268 |
| 23 | Bcbs Nj fee schedule · outpatient | 12 | $268 | $578 | $392 | 68% | — | $268 – $1.2k |
| 24 | Highmark fee schedule · outpatient · +4 other terms | 10 | $316 | $327 | $107 | 33% | — | $126 – $747 |
| 25 | Medica fee schedule · outpatient · +6 other terms | 10 | $531 | $535 | $134 | 25% | — | $322 – $686 |
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