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
facility
Low
$0
Average
$1
Median
$1
High
$8
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 4.8× 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 · +8 other terms | 304 | $1 | $1 | $1 | 107% | — | $0 – $4 |
| 2 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 299 | $1 | $1 | $1 | 155% | — | $0 – $9 |
| 3 | Aetna fee schedule · outpatient · +10 other terms | 266 | $1 | $1 | $0 | 48% | — | $0 – $3 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 185 | $1 | $1 | $1 | 88% | — | $0 – $7 |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 185 | $1 | $1 | $0 | 18% | — | $1 – $1 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 163 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 7 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 8 | Molina fee schedule · outpatient · +9 other terms | 96 | $1 | $1 | $0 | 38% | — | $0 – $1 |
| 9 | Cigna fee schedule · outpatient · +9 other terms | 77 | $1 | $1 | $0 | 24% | — | $1 – $1 |
| 10 | Anthem fee schedule · outpatient · +7 other terms | 74 | $1 | $1 | $0 | 25% | — | $1 – $1 |
| 11 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Kaiser fee schedule · outpatient · +4 other terms | 39 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 13 | Clover fee schedule · outpatient · +1 other terms | 37 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $1 | $1 | $0 | 29% | — | $0 – $2 |
| 15 | Optum fee schedule · outpatient · +2 other terms | 25 | $1 | $1 | $0 | 42% | — | $1 – $1 |
| 16 | Oscar fee schedule · outpatient · +3 other terms | 24 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 17 | Caresource facility · case rate · outpatient · +4 other terms | 20 | $15 | $12 | $8 | 65% | — | $1 – $27 |
| 18 | Medica fee schedule · outpatient · +5 other terms | 19 | $1 | $3 | $3 | 103% | — | $1 – $9 |
| 19 | Medicare fee schedule · outpatient · +1 other terms | 18 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Ambetter facility · fee schedule · outpatient · +5 other terms | 17 | $1 | $1 | $0 | 27% | — | $0 – $1 |
| 21 | Amerihealth Caritas fee schedule · outpatient · +3 other terms | 16 | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 22 | Wellmark fee schedule · both · +2 other terms | 13 | $0 | $0 | — | — | — | $0 – $1 |
| 23 | Aetna Better Health fee schedule · outpatient · +4 other terms | 12 | $0 | $0 | $0 | 35% | — | $0 – $1 |
| 24 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $0 | $1 | $0 | 59% | — | $0 – $1 |
| 25 | Bcbs Nj fee schedule · outpatient | 12 | $1 | $1 | $1 | 68% | — | $1 – $2 |
← Hospitals reporting HCPCS A6410 · Snapshot 20261111T120946Z-9134e7f7