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
Kidney histotripsy w/image
Low
$358
Average
$14.3k
Median
$11.0k
High
$57.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 17.0× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +4 other terms | 104 | $7.4k | $7.8k | $7.0k | 89% | — | $663 – $48.0k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 50 | $9.0k | $16.5k | $18.3k | 111% | — | $362 – $80.1k |
| 3 | Cigna case rate · outpatient · +4 other terms | 32 | $19.4k | $19.3k | $4.9k | 25% | — | $8.9k – $30.8k |
| 4 | Molina facility · case rate · outpatient · +2 other terms | 26 | $2.2k | $2.2k | $561 | 25% | — | $1.3k – $4.2k |
| 5 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 17 | $1.9k | $2.1k | $481 | 23% | — | $1.3k – $3.3k |
| 6 | Anthem facility · case rate · outpatient · +2 other terms | 15 | $1.9k | $2.1k | $492 | 23% | — | $1.3k – $3.3k |
| 7 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $2.0k | $2.1k | $481 | 23% | — | $1.3k – $3.3k |
| 8 | MultiPlan fee schedule · outpatient | 14 | $29.5k | $29.5k | — | — | — | $29.5k – $29.5k |
| 9 | Humana case rate · outpatient · +4 other terms | 13 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | Optum facility · case rate · outpatient | 13 | $1.8k | $2.0k | $415 | 21% | — | $1.6k – $2.9k |
| 11 | WellCare facility · fee schedule · outpatient · +1 other terms | 9 | $22.5k | $22.5k | — | — | — | $22.5k – $22.5k |
| 12 | Kaiser fee schedule · outpatient · +1 other terms | 8 | $57.9k | $59.5k | $16.4k | 28% | — | $34.8k – $98.3k |
| 13 | Premera fee schedule · outpatient | 8 | $23.4k | $23.2k | $464 | 2% | — | $22.1k – $23.4k |
| 14 | Aetna Better Health facility · case rate · outpatient | 6 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 6 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | First Health fee schedule · outpatient | 6 | $16.3k | $14.3k | $4.4k | 31% | — | $4.4k – $16.3k |
| 17 | Bcbs Mn fee schedule · outpatient | 5 | $16.3k | $14.9k | $12.5k | 84% | — | $1.9k – $46.3k |
| 18 | Phcs percent of total billed charges · outpatientfrom % of charges | 5 | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 19 | Regence fee schedule · outpatient · +1 other terms | 5 | $21.5k | $21.5k | $3.5k | 16% | — | $16.4k – $25.6k |
| 20 | Tricare fee schedule · outpatient | 5 | $50k | $50k | — | — | — | $50k – $50k |
| 21 | Oscar fee schedule · outpatient | 3 | $4.4k | $4.3k | $134 | 3% | — | $4.1k – $4.4k |
| 22 | Medicaid facility · case rate · outpatient | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Ucare fee schedule · outpatient · +1 other terms | 2 | $13.8k | $13.8k | — | — | — | $13.8k – $13.8k |
| 24 | Wellmark facility · case rate · outpatient | 2 | $5.3k | $5.3k | $2.5k | 46% | — | $2.9k – $7.8k |
| 25 | Bcbs Ca facility · fee schedule · outpatient | 1 | $358 | $358 | $32 | 9% | — | $316 – $394 |
← Hospitals reporting HCPCS C9790 · Snapshot 20261112T124536Z-e251e855