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
$0
Average
$1.6k
Median
$437
High
$9.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 360356.9× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 21 | $259 | $210 | $75 | 36% | — | $101 – $346 |
| 2 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $326 | $329 | $109 | 33% | — | $169 – $408 |
| 3 | Anthem facility · fee schedule · outpatient · +3 other terms | 5 | $9.2k | $8.6k | $3.5k | 41% | — | $1.9k – $11.8k |
| 4 | Molina facility · case rate · outpatient · +1 other terms | 4 | $4.2k | $4.5k | $1.0k | 23% | — | $3.2k – $6.1k |
| 5 | Humana facility · case rate · outpatient · +1 other terms | 3 | $2.7k | $2.8k | $127 | 5% | — | $2.7k – $3.0k |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $78 | $78 | — | — | — | $78 – $78 |
| 7 | Wellmark facility · case rate · outpatient | 3 | $10.4k | $9.1k | $2.9k | 32% | — | $4.2k – $11.5k |
| 8 | Aetna facility · case rate · outpatient · +4 other terms | 2 | $5.2k | $5.2k | $948 | 18% | — | $4.2k – $6.1k |
| 9 | Aetna Better Health facility · case rate · outpatient | 1 | $3.1k | $3.1k | $36 | 1% | — | $3.1k – $3.2k |
| 10 | Amerihealth Caritas facility · case rate · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 11 | Bcbs Id professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 12 | Cigna facility · fee schedule · outpatient · +3 other terms | 1 | $105 | $105 | $21 | 20% | — | $89 – $135 |
| 13 | First Health facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Kaiser facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
← Hospitals reporting HCPCS C9030 · Snapshot 20261112T181611Z-3fa9fb76