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
INCENT.SPIROM.SET UP
Low
$9
Average
$48
Median
$34
High
$426
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 3.1× 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 · +19 other terms | 309 | $34 | $51 | $54 | 105% | — | $16 – $261 |
| 2 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 297 | $34 | $32 | $5 | 17% | — | $11 – $39 |
| 3 | Aetna fee schedule · outpatient · +18 other terms | 273 | $34 | $37 | $18 | 48% | — | $15 – $203 |
| 4 | WellCare fee schedule · outpatient · +9 other terms | 190 | $35 | $36 | $6 | 16% | — | $33 – $66 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 181 | $35 | $41 | $18 | 43% | — | $0 – $118 |
| 6 | Devoted fee schedule · outpatient · +7 other terms | 163 | $34 | $34 | $1 | 2% | — | $33 – $36 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 121 | $35 | $34 | $1 | 3% | — | $33 – $37 |
| 8 | Molina fee schedule · outpatient · +12 other terms | 101 | $42 | $46 | $18 | 39% | — | $26 – $89 |
| 9 | Cigna fee schedule · outpatient · +18 other terms | 78 | $35 | $38 | $9 | 24% | — | $33 – $85 |
| 10 | Anthem fee schedule · outpatient · +15 other terms | 76 | $33 | $39 | $16 | 42% | — | $33 – $97 |
| 11 | Superior Healthplan fee schedule · outpatient · +1 other terms | 42 | $36 | $35 | $2 | 5% | — | $20 – $36 |
| 12 | Kaiser fee schedule · outpatient · +9 other terms | 39 | $33 | $34 | $1 | 2% | — | $33 – $35 |
| 13 | Clover fee schedule · outpatient · +1 other terms | 37 | $34 | $34 | $1 | 3% | — | $33 – $36 |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $31 | $32 | $9 | 29% | — | $23 – $116 |
| 15 | Optum fee schedule · outpatient · +7 other terms | 30 | $33 | $38 | $15 | 40% | — | $33 – $85 |
| 16 | Oscar fee schedule · outpatient · +8 other terms | 24 | $33 | $34 | $1 | 3% | — | $33 – $36 |
| 17 | Caresource facility · case rate · outpatient · +7 other terms | 20 | $11 | $23 | $21 | 90% | — | $7 – $68 |
| 18 | Medicare fee schedule · outpatient · +3 other terms | 18 | $33 | $33 | $0 | 1% | — | $33 – $33 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +6 other terms | 16 | $41 | $40 | $1 | 2% | — | $39 – $41 |
| 20 | Highmark facility · fee schedule · outpatient · +7 other terms | 16 | $32 | $79 | $55 | 70% | — | $22 – $218 |
| 21 | Aetna Better Health fee schedule · outpatient · +6 other terms | 13 | $16 | $23 | $9 | 37% | — | $16 – $34 |
| 22 | Wellmark fee schedule · both · +6 other terms | 13 | $32 | $31 | $1 | 4% | — | $24 – $32 |
| 23 | Ambetter case rate · outpatient · +9 other terms | 12 | $48 | $50 | $2 | 4% | — | $48 – $53 |
| 24 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $29 | $19 | $16 | 85% | — | $0 – $36 |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $27 | $52 | $46 | 88% | — | $20 – $147 |
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