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
$10
Average
$219
Median
$168
High
$1.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 35.0× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 22 | $30 | $28 | $11 | 40% | — | $13 – $43 |
| 2 | Anthem facility · fee schedule · outpatient · +1 other terms | 7 | $984 | $186 | $384 | 207% | — | $15 – $1.3k |
| 3 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $11 | $11 | $4 | 33% | — | $6 – $14 |
| 4 | Molina facility · case rate · outpatient · +2 other terms | 4 | $473 | $494 | $122 | 25% | — | $345 – $685 |
| 5 | Humana facility · case rate · outpatient | 3 | $288 | $297 | $14 | 5% | — | $288 – $317 |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Wellmark facility · case rate · outpatient | 3 | $1.2k | $1.0k | $321 | 32% | — | $473 – $1.3k |
| 8 | Aetna facility · case rate · outpatient · +2 other terms | 2 | $579 | $579 | $106 | 18% | — | $473 – $685 |
| 9 | Amerihealth Caritas case rate · outpatient · +1 other terms | 2 | $317 | $317 | — | — | — | $317 – $317 |
| 10 | Cigna facility · fee schedule · outpatient · +2 other terms | 2 | $21 | $17 | $7 | 43% | — | $11 – $29 |
| 11 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 2 | $463 | $414 | $138 | 33% | — | $317 – $609 |
| 12 | Aetna Better Health facility · case rate · outpatient | 1 | $343 | $343 | $12 | 3% | — | $331 – $355 |
| 13 | Bcbs Id professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Healthpartners facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
← Hospitals reporting HCPCS C9037 · Snapshot 20261112T181611Z-3fa9fb76