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
HC Drsg Cdxmr Iod 3in 1 Mode Wnd
Low
$0
Average
$28
Median
$5
High
$532
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 23.2× 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 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 310 | $3 | $4 | $18 | 507% | — | $1 – $445 |
| 2 | Humana fee schedule · outpatient · +20 other terms | 305 | $3 | $5 | $5 | 107% | — | $0 – $34 |
| 3 | Aetna fee schedule · outpatient · +20 other terms | 279 | $3 | $4 | $23 | 515% | — | $1 – $445 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +20 other terms | 204 | $3 | $4 | $3 | 91% | — | $0 – $66 |
| 5 | WellCare fee schedule · outpatient · +11 other terms | 185 | $3 | $3 | $1 | 16% | — | $3 – $6 |
| 6 | Devoted fee schedule · outpatient · +4 other terms | 163 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 7 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 8 | Molina fee schedule · outpatient · +12 other terms | 98 | $4 | $4 | $2 | 40% | — | $1 – $8 |
| 9 | Cigna fee schedule · outpatient · +19 other terms | 80 | $3 | $8 | $42 | 557% | — | $3 – $433 |
| 10 | Anthem fee schedule · outpatient · +13 other terms | 75 | $3 | $3 | $0 | 9% | — | $2 – $5 |
| 11 | Kaiser fee schedule · outpatient · +9 other terms | 42 | $3 | $3 | $1 | 26% | — | $3 – $7 |
| 12 | Superior Healthplan fee schedule · outpatient · +1 other terms | 41 | $3 | $3 | $0 | 12% | — | $1 – $5 |
| 13 | Clover fee schedule · outpatient · +2 other terms | 37 | $3 | $3 | $0 | 3% | — | $3 – $3 |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $3 | $3 | $1 | 29% | — | $2 – $10 |
| 15 | Optum fee schedule · outpatient · +4 other terms | 25 | $3 | $4 | $1 | 42% | — | $3 – $8 |
| 16 | Oscar fee schedule · outpatient · +6 other terms | 25 | $3 | $3 | $0 | 4% | — | $3 – $3 |
| 17 | Caresource fee schedule · outpatient · +5 other terms | 20 | $3 | $3 | $0 | 12% | — | $2 – $3 |
| 18 | Medicare fee schedule · outpatient · +4 other terms | 18 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 19 | Ambetter facility · fee schedule · outpatient · +11 other terms | 16 | $5 | $4 | $2 | 64% | — | $0 – $5 |
| 20 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 16 | $4 | $4 | $0 | 2% | — | $3 – $4 |
| 21 | Medicaid fee schedule · outpatient | 14 | $5 | $2 | $2 | 105% | — | $1 – $7 |
| 22 | Aetna Better Health fee schedule · outpatient · +3 other terms | 13 | $1 | $2 | $1 | 40% | — | $1 – $3 |
| 23 | Highmark facility · fee schedule · outpatient · +6 other terms | 13 | $6 | $7 | $4 | 60% | — | $3 – $19 |
| 24 | Wellmark fee schedule · both · +5 other terms | 13 | $3 | $3 | $0 | 3% | — | $2 – $3 |
| 25 | Bcbs Mn fee schedule · outpatient · +6 other terms | 12 | $3 | $2 | $1 | 63% | — | $0 – $3 |
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