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
Xe129 xenon, diagnostic
Low
$44
Average
$1.1k
Median
$598
High
$4.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 14.4× 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 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 115 | $2.8k | $3.2k | $1.7k | 52% | — | $1 – $6.8k |
| 2 | Aetna fee schedule · outpatient · +10 other terms | 58 | $1.3k | $2.4k | $1.7k | 70% | — | $998 – $10.8k |
| 3 | Anthem fee schedule · outpatient · +8 other terms | 33 | $1.1k | $1.8k | $809 | 45% | — | $203 – $4.9k |
| 4 | Bcbs Tx fee schedule · outpatient | 30 | $4.5k | $4.1k | $1.4k | 33% | — | $1.7k – $7.1k |
| 5 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $120 | $128 | $29 | 23% | — | $80 – $203 |
| 6 | Molina facility · case rate · outpatient · +3 other terms | 15 | $117 | $128 | $30 | 23% | — | $82 – $199 |
| 7 | UnitedHealthcare facility · case rate · outpatient · +10 other terms | 15 | $120 | $130 | $30 | 23% | — | $82 – $203 |
| 8 | Wellmark fee schedule · both | 13 | $468 | $468 | — | — | — | $468 – $468 |
| 9 | Bcbs Nj fee schedule · outpatient | 12 | $552 | $571 | $255 | 45% | — | $432 – $1.0k |
| 10 | Highmark fee schedule · outpatient · +3 other terms | 12 | $1.1k | $1.1k | $97 | 9% | — | $934 – $1.4k |
| 11 | Optum facility · case rate · outpatient | 11 | $111 | $121 | $27 | 22% | — | $100 – $180 |
| 12 | Medica fee schedule · both · +4 other terms | 9 | $1.3k | $1.3k | $11 | 1% | — | $1.3k – $1.3k |
| 13 | Excellus facility · fee schedule · outpatient | 5 | $708 | $796 | $494 | 62% | — | $442 – $2.1k |
| 14 | First Health professional · fee schedule · both · +2 other terms | 3 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Humana facility · other · outpatient · +3 other terms | 2 | $173 | $173 | $26 | 15% | — | $148 – $199 |
| 16 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $442 | $442 | — | — | — | $442 – $442 |
| 17 | Aetna Better Health percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $595 | $595 | — | — | — | $595 – $595 |
| 18 | Amerihealth Caritas fee schedule · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 19 | Bcbs Id professional · fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
| 20 | Bcbs Il professional · fee schedule · both | 1 | $520 | $520 | — | — | — | $520 – $520 |
| 21 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $468 | $468 | — | — | — | $468 – $468 |
| 22 | Bcbs Mn fee schedule · outpatient | 1 | $442 | $442 | — | — | — | $442 – $442 |
| 23 | Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 24 | Cigna percent of total billed charges · inpatientfrom % of charges · +3 other terms | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Medical Mutual percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $1.9k | $1.9k | $393 | 21% | — | $1.5k – $2.3k |
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