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
$100
Average
$936
Median
$631
High
$3.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 21.8× 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 | $3.1k | $2.8k | $1.1k | 40% | — | $1.3k – $4.4k |
| 2 | Anthem facility · fee schedule · outpatient · +1 other terms | 7 | $411 | $1.7k | $717 | 42% | — | $72 – $2.4k |
| 3 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $332 | $335 | $111 | 33% | — | $173 – $415 |
| 4 | Molina facility · case rate · outpatient · +1 other terms | 4 | $188 | $193 | $53 | 27% | — | $124 – $272 |
| 5 | Humana facility · case rate · outpatient | 3 | $103 | $106 | $5 | 5% | — | $103 – $113 |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $995 | $995 | — | — | — | $995 – $995 |
| 7 | Wellmark facility · case rate · outpatient | 3 | $461 | $405 | $128 | 32% | — | $188 – $509 |
| 8 | Aetna facility · case rate · outpatient · +2 other terms | 2 | $230 | $230 | $42 | 18% | — | $188 – $272 |
| 9 | Aetna Better Health facility · case rate · outpatient | 1 | $130 | $130 | $11 | 9% | — | $119 – $141 |
| 10 | Amerihealth Caritas facility · case rate · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 11 | Bcbs Id professional · fee schedule · outpatient | 1 | $995 | $995 | — | — | — | $995 – $995 |
| 12 | Cigna facility · fee schedule · outpatient · +1 other terms | 1 | $1.3k | $1.3k | $268 | 20% | — | $1.1k – $1.7k |
| 13 | Kaiser facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 14 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 1 | $113 | $113 | — | — | — | $113 – $113 |
← Hospitals reporting HCPCS C9465 · Snapshot 20261112T181611Z-3fa9fb76