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
HC RX IP 250 OP 636
Low
$7
Average
$314
Median
$90
High
$1.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
30 payers; the 90th percentile is 103.0× 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 · +5 other terms | 38 | $5 | $6 | $3 | 51% | — | $2 – $13 |
| 2 | Cigna fee schedule · outpatient · +7 other terms | 22 | $20 | $18 | $6 | 32% | — | $9 – $28 |
| 3 | Anthem facility · case rate · outpatient · +2 other terms | 15 | $23 | $25 | $6 | 23% | — | $15 – $38 |
| 4 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $23 | $25 | $6 | 23% | — | $15 – $39 |
| 5 | Molina facility · case rate · outpatient · +7 other terms | 15 | $23 | $25 | $6 | 23% | — | $16 – $38 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +6 other terms | 15 | $23 | $25 | $6 | 23% | — | $16 – $39 |
| 7 | Wellmark fee schedule · outpatient · +1 other terms | 13 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | Optum facility · case rate · outpatient · +3 other terms | 11 | $21 | $23 | $5 | 22% | — | $19 – $35 |
| 9 | Highmark fee schedule · outpatient · +1 other terms | 10 | $11 | $11 | — | — | — | $11 – $11 |
| 10 | Medica percent of total billed charges · outpatientfrom % of charges · +2 other terms | 10 | $15 | $14 | $5 | 36% | — | $6 – $19 |
| 11 | First Health percent of total billed charges · outpatientfrom % of charges · +2 other terms | 9 | $20 | $126 | $300 | 239% | — | $20 – $974 |
| 12 | Bcbs Mn fee schedule · both · +3 other terms | 8 | $10 | $10 | $0 | 1% | — | $10 – $10 |
| 13 | Ucare percent of total billed charges · outpatientfrom % of charges · +1 other terms | 8 | $12 | $12 | $1 | 5% | — | $10 – $12 |
| 14 | Aetna Better Health facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 4 | $35 | $34 | $2 | 7% | — | $30 – $35 |
| 15 | Amerihealth Caritas facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 4 | $58 | $58 | — | — | — | $58 – $58 |
| 16 | Ambetter percent of total billed charges · bothfrom % of charges | 3 | $1.2k | $1.1k | $120 | 11% | — | $960 – $1.2k |
| 17 | Kaiser facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 3 | $413 | $453 | $141 | 31% | — | $223 – $648 |
| 18 | Phcs percent of total billed charges · bothfrom % of charges | 3 | $30 | $420 | $783 | 186% | — | $27 – $2.0k |
| 19 | Sanford Health Plan fee schedule · outpatient · +3 other terms | 3 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Aetna fee schedule · both · +7 other terms | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 21 | Beechstreet percent of total billed charges · bothfrom % of charges | 2 | $28 | $28 | $1 | 5% | — | $27 – $29 |
| 22 | Devoted facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $425 | $425 | $180 | 42% | — | $245 – $605 |
| 23 | MultiPlan fee schedule · both · +3 other terms | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 24 | Bcbs Ca fee schedule · outpatient · +1 other terms | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | Humana fee schedule · outpatient · +5 other terms | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS C9300 · Snapshot 20261113T090226Z-3ce6c0b8