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
$1
Average
$43
Median
$1
High
$330
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 112.2× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 22 | $3 | $3 | $1 | 40% | — | $1 – $4 |
| 2 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $331 | $334 | $111 | 33% | — | $172 – $414 |
| 3 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Aetna professional · fee schedule · both · +1 other terms | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Anthem facility · fee schedule · outpatient · +1 other terms | 2 | $2 | $2 | $0 | 16% | — | $1 – $2 |
| 6 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Cigna facility · fee schedule · outpatient · +1 other terms | 1 | $1 | $1 | $0 | 20% | — | $1 – $2 |
| 8 | Kaiser facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Hospitals reporting HCPCS C9464 · Snapshot 20261113T090226Z-3ce6c0b8