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 2d Tte W or W/O Fol W/Contrast, F/U
Low
$101
Average
$801
Median
$831
High
$1.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 3.5× 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 | Medicare other · both · +15 other terms | 32 | $335 | $381 | $92 | 24% | 167–338 | $326 – $854 |
| 2 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 376 | $409 | $1.5k | $3.4k | 226% | 2–20 | $1 – $26.7k |
| 3 | Humana fee schedule · outpatient · +26 other terms | 280 | $359 | $404 | $192 | 47% | 2–20 | $1 – $2.5k |
| 4 | First Health fee schedule · outpatient · +15 other terms | 44 | $858 | $912 | $508 | 56% | 2–20 | $335 – $2.1k |
| 5 | Aetna fee schedule · outpatient · +31 other terms | 441 | $390 | $574 | $435 | 76% | 1–10 | $1 – $3.4k |
| 6 | Cigna fee schedule · outpatient · +29 other terms | 170 | $390 | $544 | $353 | 65% | 1–10 | $55 – $1.9k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 370 | $681 | $994 | $583 | 59% | — | $1 – $2.8k |
| 8 | Molina fee schedule · outpatient · +22 other terms | 143 | $447 | $459 | $157 | 34% | — | $1 – $945 |
| 9 | WellCare fee schedule · outpatient · +16 other terms | 130 | $378 | $410 | $126 | 31% | — | $183 – $837 |
| 10 | Anthem fee schedule · outpatient · +25 other terms | 100 | $454 | $739 | $608 | 82% | — | $188 – $2.6k |
| 11 | Kaiser fee schedule · outpatient · +21 other terms | 99 | $582 | $730 | $464 | 64% | — | $28 – $2.9k |
| 12 | Devoted facility · fee schedule · outpatient · +13 other terms | 93 | $354 | $356 | $38 | 11% | — | $134 – $453 |
| 13 | MultiPlan fee schedule · outpatient · +14 other terms | 89 | $1.2k | $1.3k | $601 | 48% | — | $335 – $2.5k |
| 14 | Ambetter facility · fee schedule · outpatient · +15 other terms | 84 | $607 | $643 | $163 | 25% | — | $332 – $929 |
| 15 | Oscar facility · fee schedule · outpatient · +14 other terms | 60 | $550 | $557 | $72 | 13% | — | $402 – $671 |
| 16 | Tricare facility · fee schedule · outpatient · +13 other terms | 58 | $351 | $395 | $298 | 75% | — | $123 – $2.2k |
| 17 | Highmark facility · fee schedule · outpatient · +15 other terms | 53 | $678 | $783 | $509 | 65% | — | $121 – $2.2k |
| 18 | Optum fee schedule · outpatient · +14 other terms | 50 | $349 | $463 | $212 | 46% | — | $317 – $1.1k |
| 19 | Caresource fee schedule · outpatient · +17 other terms | 43 | $528 | $687 | $174 | 25% | — | $1 – $789 |
| 20 | Clover facility · fee schedule · outpatient · +8 other terms | 36 | $370 | $361 | $26 | 7% | — | $316 – $421 |
| 21 | Medica fee schedule · outpatient · +19 other terms | 30 | $658 | $1.1k | $563 | 53% | — | $326 – $2.1k |
| 22 | Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms | 24 | $368 | $404 | $160 | 40% | — | $188 – $1.0k |
| 23 | Medicaid facility · fee schedule · outpatient · +14 other terms | 22 | $206 | $270 | $62 | 23% | — | $206 – $333 |
| 24 | Regence facility · fee schedule · outpatient · +16 other terms | 21 | $367 | $555 | $361 | 65% | — | $331 – $1.5k |
| 25 | Carefirst facility · fee schedule · both · +9 other terms | 19 | $765 | $873 | $583 | 67% | — | $356 – $2.5k |
← Hospitals reporting HCPCS C8924 · Snapshot 20261111T120946Z-9134e7f7