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
$67
Average
$844
Median
$692
High
$1.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 21.6× 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 · +4 other terms | 17 | $207 | $270 | $131 | 48% | — | $155 – $623 |
| 2 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +2 other terms | 12 | $2.1k | $2.1k | $61 | 3% | — | $2.1k – $2.2k |
| 3 | Anthem facility · fee schedule · outpatient · +1 other terms | 10 | $402 | $832 | $297 | 36% | — | $46 – $1.1k |
| 4 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $572 | $577 | $192 | 33% | — | $297 – $715 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 4 | $105 | $110 | $27 | 24% | — | $78 – $152 |
| 6 | Aetna fee schedule · outpatient · +6 other terms | 3 | $521 | $855 | $473 | 55% | — | $521 – $1.5k |
| 7 | Humana facility · case rate · outpatient | 3 | $65 | $67 | $3 | 5% | — | $65 – $72 |
| 8 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $474 | $474 | — | — | — | $474 – $474 |
| 9 | Wellmark facility · case rate · outpatient | 3 | $258 | $226 | $71 | 32% | — | $105 – $284 |
| 10 | Amerihealth Caritas case rate · outpatient · +1 other terms | 2 | $72 | $72 | — | — | — | $72 – $72 |
| 11 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Tricare facility · fee schedule · outpatient | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 2 | $104 | $93 | $30 | 32% | — | $72 – $136 |
| 14 | Aetna Better Health facility · case rate · outpatient | 1 | $77 | $77 | $2 | 2% | — | $75 – $79 |
| 15 | Bcbs Id professional · fee schedule · outpatient | 1 | $474 | $474 | — | — | — | $474 – $474 |
| 16 | Cigna fee schedule · both · +5 other terms | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 17 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Kaiser facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
← Hospitals reporting HCPCS C9447 · Snapshot 20261112T181611Z-3fa9fb76