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
$2
Average
$2.8k
Median
$3.2k
High
$10.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 57.1× 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 | 31 | $133 | $195 | $88 | 45% | — | $77 – $341 |
| 2 | Molina facility · case rate · outpatient · +3 other terms | 27 | $4.1k | $4.2k | $1.2k | 28% | — | $2.8k – $7.4k |
| 3 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 18 | $4.4k | $4.7k | $1.3k | 29% | — | $2.8k – $7.5k |
| 4 | Anthem facility · case rate · outpatient · +3 other terms | 15 | $4.4k | $4.8k | $1.1k | 23% | — | $3.0k – $7.4k |
| 5 | Caresource facility · case rate · outpatient | 15 | $4.4k | $4.8k | $1.1k | 23% | — | $3.0k – $7.5k |
| 6 | Optum facility · case rate · outpatient | 13 | $3.9k | $4.2k | $1.1k | 27% | — | $2.7k – $6.7k |
| 7 | Humana facility · case rate · outpatient · +1 other terms | 8 | $2.8k | $2.9k | $137 | 5% | — | $2.8k – $3.1k |
| 8 | Aetna Better Health facility · case rate · outpatient | 7 | $3.4k | $3.4k | $51 | 2% | — | $3.3k – $3.5k |
| 9 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $3.1k | $3.2k | $99 | 3% | — | $3.1k – $3.4k |
| 10 | Aetna facility · case rate · outpatient · +4 other terms | 5 | $3.4k | $4.1k | $1.4k | 34% | — | $2.8k – $6.8k |
| 11 | Cigna fee schedule · both · +1 other terms | 5 | $76 | $79 | $6 | 8% | — | $76 – $93 |
| 12 | Highmark facility · fee schedule · outpatient | 3 | $80 | $82 | $3 | 4% | — | $80 – $89 |
| 13 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $76 | $76 | — | — | — | $76 – $76 |
| 14 | Wellmark facility · case rate · outpatient | 3 | $11.6k | $10.2k | $3.2k | 32% | — | $4.7k – $12.8k |
| 15 | Medicaid facility · case rate · outpatient | 2 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 16 | Bcbs Ca facility · fee schedule · outpatient | 1 | $2 | $2 | $0 | 9% | — | $2 – $2 |
| 17 | Bcbs Id professional · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 18 | Healthpartners facility · fee schedule · outpatient | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 19 | WellCare facility · case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
← Hospitals reporting HCPCS C9055 · Snapshot 20261112T181611Z-3fa9fb76