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
$247
Average
$10.1k
Median
$5.7k
High
$42.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 8.0× 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 | Aetna case rate · outpatient · +5 other terms | 34 | $6.9k | $10.2k | $4.7k | 46% | — | $3.0k – $22.9k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 23 | $15.0k | $18.1k | $9.4k | 52% | — | $2.5k – $53.4k |
| 3 | Humana facility · case rate · outpatient · +3 other terms | 22 | $2.4k | $4.6k | $3.3k | 71% | — | $2.3k – $9.5k |
| 4 | Molina facility · case rate · outpatient · +3 other terms | 21 | $2.4k | $2.8k | $635 | 23% | — | $2.0k – $5.1k |
| 5 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 13 | $2.4k | $2.4k | $207 | 9% | — | $2.0k – $3.0k |
| 6 | Bcbs Mn fee schedule · outpatient · +1 other terms | 12 | $6.1k | $5.7k | $2.5k | 44% | — | $1.4k – $11.3k |
| 7 | Cigna case rate · outpatient · +4 other terms | 11 | $7.2k | $7.2k | $758 | 11% | — | $6.4k – $8.4k |
| 8 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 7 | $2.8k | $2.8k | $42 | 2% | — | $2.7k – $2.8k |
| 9 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $2.5k | $2.6k | $81 | 3% | — | $2.5k – $2.8k |
| 10 | Anthem facility · fee schedule · outpatient · +3 other terms | 5 | $7.9k | $7.4k | $3.0k | 41% | — | $1.6k – $10.2k |
| 11 | Medicaid fee schedule · outpatient | 3 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 12 | WellCare fee schedule · outpatient | 3 | $2.8k | $2.8k | $10 | 0% | — | $2.8k – $2.8k |
| 13 | Wellmark facility · case rate · outpatient | 3 | $8.7k | $7.6k | $2.4k | 32% | — | $3.5k – $9.6k |
| 14 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 15 | Bcbs Ca facility · fee schedule · outpatient | 1 | $247 | $247 | $22 | 9% | — | $219 – $273 |
| 16 | Bcbs La other · outpatient · +1 other terms | 1 | $21.9k | $21.9k | — | — | — | $21.9k – $21.9k |
| 17 | Bcbs Tx facility · fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 18 | Caresource facility · case rate · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Devoted facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 20 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $28.5k | $28.5k | — | — | — | $28.5k – $28.5k |
| 21 | Optum other · outpatient · +1 other terms | 1 | $43.8k | $43.8k | — | — | — | $43.8k – $43.8k |
← Hospitals reporting HCPCS C9754 · Snapshot 20261112T181611Z-3fa9fb76