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
Fee Schedule
Low
$323
Average
$5.2k
Median
$5.2k
High
$16.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 3.2× 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 · +1 other terms | 22 | $6.6k | $6.0k | $2.4k | 40% | — | $2.8k – $9.4k |
| 2 | Anthem facility · fee schedule · outpatient · +1 other terms | 10 | $4.9k | $5.5k | $4.3k | 78% | — | $2.3k – $20.6k |
| 3 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $324 | $327 | $109 | 33% | — | $168 – $405 |
| 4 | Molina facility · case rate · outpatient · +1 other terms | 4 | $7.5k | $7.9k | $1.9k | 24% | — | $5.6k – $10.9k |
| 5 | Humana facility · case rate · outpatient | 3 | $4.7k | $4.9k | $222 | 5% | — | $4.7k – $5.2k |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Wellmark facility · case rate · outpatient | 3 | $18.4k | $16.1k | $5.1k | 32% | — | $7.5k – $20.3k |
| 8 | Aetna facility · case rate · outpatient · +2 other terms | 2 | $9.2k | $9.2k | $1.7k | 18% | — | $7.5k – $10.9k |
| 9 | Aetna Better Health facility · case rate · outpatient | 1 | $5.5k | $5.5k | $107 | 2% | — | $5.4k – $5.6k |
| 10 | Amerihealth Caritas facility · case rate · outpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 11 | Bcbs Id professional · fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Cigna fee schedule · both · +1 other terms | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 13 | Kaiser facility · fee schedule · outpatient | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 14 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
← Hospitals reporting HCPCS C9028 · Snapshot 20261112T181611Z-3fa9fb76