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
$242
Average
$25.4k
Median
$22.3k
High
$76.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
13 payers; the 90th percentile is 241.8× 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 | 21 | $806 | $78.7k | $92.5k | 118% | — | $316 – $190.3k |
| 2 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $327 | $331 | $110 | 33% | — | $170 – $409 |
| 3 | Anthem facility · fee schedule · outpatient · +1 other terms | 5 | $74.0k | $68.8k | $28.0k | 41% | — | $15.1k – $94.7k |
| 4 | Molina facility · case rate · outpatient · +1 other terms | 4 | $35.5k | $37.1k | $9.2k | 25% | — | $25.9k – $51.5k |
| 5 | Humana facility · case rate · outpatient | 3 | $21.6k | $22.3k | $1.0k | 5% | — | $21.6k – $23.7k |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $242 | $242 | — | — | — | $242 – $242 |
| 7 | Wellmark facility · case rate · outpatient | 3 | $87.2k | $76.5k | $24.1k | 32% | — | $35.5k – $96.3k |
| 8 | Aetna facility · case rate · outpatient · +2 other terms | 2 | $43.5k | $43.5k | $8.0k | 18% | — | $35.5k – $51.5k |
| 9 | Aetna Better Health facility · case rate · outpatient | 1 | $25.7k | $25.7k | $919 | 4% | — | $24.8k – $26.7k |
| 10 | Amerihealth Caritas facility · case rate · outpatient | 1 | $25.9k | $25.9k | — | — | — | $25.9k – $25.9k |
| 11 | Bcbs Id professional · fee schedule · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 12 | Cigna facility · fee schedule · outpatient · +1 other terms | 1 | $327 | $327 | $65 | 20% | — | $276 – $419 |
| 13 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 1 | $23.7k | $23.7k | — | — | — | $23.7k – $23.7k |
← Hospitals reporting HCPCS C9031 · Snapshot 20261112T181611Z-3fa9fb76