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
$48
Average
$2.2k
Median
$1.4k
High
$10.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 75.5× 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 | $143 | $128 | $49 | 38% | — | $59 – $205 |
| 2 | Anthem facility · fee schedule · outpatient · +1 other terms | 7 | $9.7k | $1.7k | $3.8k | 219% | — | $68 – $12.5k |
| 3 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $334 | $338 | $112 | 33% | — | $174 – $418 |
| 4 | Molina facility · case rate · outpatient · +1 other terms | 4 | $4.7k | $4.9k | $1.2k | 25% | — | $3.4k – $6.8k |
| 5 | Humana facility · case rate · outpatient | 3 | $2.8k | $2.9k | $134 | 5% | — | $2.8k – $3.1k |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $48 | $48 | — | — | — | $48 – $48 |
| 7 | Wellmark facility · case rate · outpatient | 3 | $11.6k | $10.2k | $3.2k | 32% | — | $4.7k – $12.8k |
| 8 | Aetna facility · case rate · outpatient · +2 other terms | 2 | $5.8k | $5.8k | $1.1k | 18% | — | $4.7k – $6.8k |
| 9 | Aetna Better Health facility · case rate · outpatient | 1 | $3.4k | $3.4k | $136 | 4% | — | $3.3k – $3.5k |
| 10 | Amerihealth Caritas facility · case rate · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 11 | Bcbs Id professional · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 12 | Cigna facility · fee schedule · outpatient · +1 other terms | 1 | $65 | $65 | $13 | 20% | — | $55 – $83 |
| 13 | Kaiser facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 14 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
← Hospitals reporting HCPCS C9467 · Snapshot 20261112T181611Z-3fa9fb76