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
Filter, non disposable w pap
Low
$0
Average
$14
Median
$10
High
$138
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 3.0× 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 | Humana fee schedule · outpatient · +9 other terms | 267 | $8 | $12 | $12 | 100% | — | $5 – $58 |
| 2 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 260 | $8 | $9 | $3 | 38% | — | $1 – $20 |
| 3 | Aetna fee schedule · outpatient · +9 other terms | 259 | $8 | $10 | $8 | 74% | — | $4 – $70 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 191 | $11 | $12 | $7 | 57% | — | $0 – $60 |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 185 | $8 | $8 | $2 | 21% | — | $7 – $17 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $8 | $8 | $1 | 17% | — | $7 – $14 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $8 | $8 | $1 | 13% | — | $8 – $13 |
| 8 | Molina fee schedule · outpatient · +5 other terms | 96 | $11 | $11 | $4 | 40% | — | $6 – $32 |
| 9 | Cigna fee schedule · outpatient · +9 other terms | 77 | $8 | $11 | $5 | 44% | — | $7 – $24 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $8 | $8 | $1 | 10% | — | $8 – $13 |
| 11 | Anthem fee schedule · outpatient · +7 other terms | 38 | $8 | $9 | $4 | 43% | — | $7 – $25 |
| 12 | Clover fee schedule · outpatient | 34 | $8 | $8 | $1 | 18% | — | $7 – $13 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $10 | $11 | $4 | 32% | — | $7 – $41 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $8 | $9 | $4 | 40% | — | $7 – $19 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $8 | $8 | $1 | 16% | — | $7 – $12 |
| 16 | Oscar fee schedule · outpatient | 24 | $8 | $8 | $0 | 3% | — | $8 – $8 |
| 17 | Medicare fee schedule · outpatient | 18 | $7 | $8 | $2 | 19% | — | $7 – $12 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $9 | $10 | $2 | 18% | — | $9 – $15 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $14 | $14 | $1 | 7% | — | $10 – $14 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $7 | $7 | $2 | 26% | — | $4 – $8 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $7 | $16 | $11 | 68% | — | $7 – $33 |
| 23 | MultiPlan facility · fee schedule · outpatient · +8 other terms | 11 | $40 | $39 | $4 | 11% | — | $25 – $40 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $11 | $12 | $6 | 48% | — | $3 – $32 |
| 25 | Medica fee schedule · outpatient · +8 other terms | 10 | $14 | $14 | $4 | 25% | — | $9 – $18 |
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