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 2301 HI ACT 6.1-10.0 MCI EACH
Low
$75
Average
$366
Median
$246
High
$1.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
57 payers; the 90th percentile is 3.9× 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 · +17 other terms | 271 | $171 | $345 | $535 | 155% | — | $1 – $4.8k |
| 2 | Aetna fee schedule · outpatient · +21 other terms | 255 | $174 | $299 | $478 | 160% | — | $1 – $4.5k |
| 3 | Humana fee schedule · outpatient · +16 other terms | 202 | $166 | $262 | $541 | 207% | — | $1 – $4.7k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 172 | $468 | $591 | $402 | 68% | — | $0 – $1.8k |
| 5 | Cigna fee schedule · outpatient · +13 other terms | 116 | $171 | $314 | $242 | 77% | — | $70 – $1.0k |
| 6 | WellCare fee schedule · outpatient · +10 other terms | 105 | $168 | $247 | $246 | 100% | — | $18 – $1.5k |
| 7 | Molina fee schedule · outpatient · +16 other terms | 92 | $212 | $469 | $736 | 157% | — | $1 – $3.9k |
| 8 | Anthem fee schedule · outpatient · +14 other terms | 68 | $171 | $628 | $966 | 154% | — | $18 – $4.5k |
| 9 | Kaiser fee schedule · outpatient · +8 other terms | 59 | $176 | $295 | $219 | 74% | — | $139 – $1.4k |
| 10 | Devoted fee schedule · outpatient · +4 other terms | 54 | $170 | $168 | $7 | 4% | — | $158 – $186 |
| 11 | Ambetter facility · fee schedule · outpatient · +5 other terms | 43 | $313 | $327 | $71 | 22% | — | $163 – $422 |
| 12 | Optum fee schedule · outpatient · +9 other terms | 36 | $171 | $376 | $315 | 84% | — | $42 – $1.2k |
| 13 | Caresource fee schedule · outpatient · +7 other terms | 33 | $269 | $298 | $195 | 65% | — | $1 – $524 |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $763 | $771 | $350 | 45% | — | $153 – $1.4k |
| 15 | Clover fee schedule · outpatient · +3 other terms | 29 | $180 | $178 | $7 | 4% | — | $165 – $192 |
| 16 | MultiPlan fee schedule · outpatient · +9 other terms | 27 | $254 | $361 | $300 | 83% | — | $163 – $1.1k |
| 17 | Medicare fee schedule · outpatient · +4 other terms | 24 | $171 | $171 | $1 | 1% | — | $171 – $177 |
| 18 | Regence facility · fee schedule · outpatient · +2 other terms | 21 | $181 | $234 | $155 | 66% | — | $138 – $722 |
| 19 | Highmark fee schedule · outpatient · +3 other terms | 16 | $218 | $249 | $311 | 125% | — | $73 – $3.9k |
| 20 | Oscar facility · fee schedule · outpatient · +9 other terms | 16 | $230 | $225 | $29 | 13% | — | $163 – $261 |
| 21 | Tricare fee schedule · outpatient · +3 other terms | 16 | $160 | $160 | $9 | 6% | — | $151 – $174 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 14 | $174 | $179 | $19 | 10% | — | $163 – $247 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $664 | $507 | $394 | 78% | — | $151 – $1.0k |
| 24 | Medica fee schedule · outpatient · +8 other terms | 13 | $172 | $179 | $10 | 6% | — | $168 – $191 |
| 25 | Aetna Better Health fee schedule · outpatient · +7 other terms | 12 | $107 | $130 | $27 | 21% | — | $107 – $163 |
← Hospitals reporting HCPCS C2634 · Snapshot 20261111T120946Z-9134e7f7