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
$18
Average
$246
Median
$80
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 33.3× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 21 | $60 | $52 | $20 | 39% | — | $24 – $81 |
| 2 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $22 | $22 | $7 | 33% | — | $11 – $28 |
| 3 | Anthem facility · fee schedule · outpatient · +1 other terms | 5 | $987 | $916 | $373 | 41% | — | $201 – $1.3k |
| 4 | Highmark facility · fee schedule · outpatient | 3 | $19 | $20 | $1 | 4% | — | $19 – $21 |
| 5 | Humana facility · case rate · outpatient | 3 | $288 | $297 | $14 | 5% | — | $288 – $317 |
| 6 | Molina facility · fee schedule · outpatient · +1 other terms | 3 | $201 | $150 | $72 | 48% | — | $48 – $201 |
| 7 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $18 | $18 | — | — | — | $18 – $18 |
| 8 | Aetna professional · fee schedule · both · +1 other terms | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Aetna Better Health facility · case rate · outpatient | 1 | $343 | $343 | $12 | 3% | — | $331 – $355 |
| 10 | Amerihealth Caritas facility · case rate · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 11 | Bcbs Id professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 12 | Cigna professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 13 | Kaiser facility · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 14 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 15 | Wellmark facility · case rate · outpatient | 1 | $1.2k | $1.2k | $54 | 5% | — | $1.1k – $1.2k |
← Hospitals reporting HCPCS C9469 · Snapshot 20261112T181611Z-3fa9fb76