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
$308
Average
$8.7k
Median
$3.3k
High
$35.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 73.3× 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 | $1.0k | $889 | $345 | 39% | — | $402 – $1.4k |
| 2 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $361 | $364 | $121 | 33% | — | $187 – $451 |
| 3 | Anthem facility · fee schedule · outpatient · +1 other terms | 5 | $36.3k | $33.7k | $13.7k | 41% | — | $7.4k – $46.4k |
| 4 | Cigna fee schedule · both · +2 other terms | 5 | $308 | $322 | $26 | 8% | — | $308 – $380 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 4 | $16.4k | $17.3k | $4.0k | 23% | — | $12.7k – $23.8k |
| 6 | Humana facility · case rate · outpatient | 3 | $10.6k | $10.9k | $499 | 5% | — | $10.6k – $11.6k |
| 7 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $308 | $308 | — | — | — | $308 – $308 |
| 8 | Wellmark facility · case rate · outpatient | 3 | $40.3k | $35.4k | $11.2k | 32% | — | $16.4k – $44.5k |
| 9 | Aetna facility · case rate · outpatient · +2 other terms | 2 | $20.1k | $20.1k | $3.7k | 18% | — | $16.4k – $23.8k |
| 10 | Amerihealth Caritas case rate · outpatient · +1 other terms | 2 | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 11 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 2 | $3.9k | $1.5k | $2.6k | 176% | — | $320 – $7.4k |
| 12 | Aetna Better Health facility · case rate · outpatient | 1 | $12.2k | $12.2k | $76 | 1% | — | $12.2k – $12.3k |
| 13 | Bcbs Id professional · fee schedule · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 14 | Healthpartners facility · fee schedule · outpatient | 1 | $927 | $927 | — | — | — | $927 – $927 |
← Hospitals reporting HCPCS C9408 · Snapshot 20261112T181611Z-3fa9fb76