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
HC Pre-Plan 3d Model W/Ccta and/or MRI
Low
$208
Average
$1.5k
Median
$1.3k
High
$4.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 3.5× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +13 other terms | 326 | $990 | $1.2k | $753 | 61% | — | $1 – $7.0k |
| 2 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 266 | $988 | $1.2k | $1.5k | 126% | — | $1 – $29.9k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +14 other terms | 222 | $1.7k | $2.3k | $1.4k | 63% | — | $0 – $7.9k |
| 4 | Humana fee schedule · outpatient · +17 other terms | 209 | $987 | $969 | $177 | 18% | — | $1 – $2.3k |
| 5 | Cigna fee schedule · outpatient · +15 other terms | 150 | $1.0k | $1.4k | $961 | 68% | — | $100 – $4.9k |
| 6 | WellCare fee schedule · outpatient · +7 other terms | 115 | $1.0k | $1.1k | $395 | 35% | — | $818 – $2.4k |
| 7 | Molina fee schedule · outpatient · +11 other terms | 100 | $1.1k | $1.2k | $356 | 31% | — | $1 – $2.0k |
| 8 | Anthem fee schedule · outpatient · +10 other terms | 72 | $1.0k | $1.9k | $1.6k | 81% | — | $534 – $6.3k |
| 9 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $1.2k | $1.7k | $1.2k | 72% | — | $860 – $7.8k |
| 10 | Devoted fee schedule · outpatient · +3 other terms | 62 | $976 | $940 | $109 | 12% | — | $799 – $1.1k |
| 11 | Ambetter facility · fee schedule · outpatient · +7 other terms | 60 | $1.5k | $1.8k | $523 | 29% | — | $930 – $2.6k |
| 12 | Optum fee schedule · outpatient · +6 other terms | 38 | $860 | $1.2k | $608 | 51% | — | $672 – $3.2k |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $3.5k | $3.5k | $1.5k | 41% | — | $955 – $7.3k |
| 14 | Clover fee schedule · outpatient · +2 other terms | 31 | $1.1k | $1.0k | $133 | 13% | — | $775 – $1.2k |
| 15 | Oscar facility · fee schedule · outpatient · +11 other terms | 31 | $1.4k | $1.6k | $710 | 45% | — | $1.2k – $4.2k |
| 16 | Caresource facility · fee schedule · outpatient · +8 other terms | 28 | $1.4k | $1.3k | $364 | 28% | — | $836 – $2.2k |
| 17 | Medicare fee schedule · outpatient · +5 other terms | 23 | $860 | $859 | $3 | 0% | — | $848 – $860 |
| 18 | MultiPlan fee schedule · outpatient · +8 other terms | 21 | $1.7k | $1.7k | $145 | 9% | — | $955 – $1.9k |
| 19 | Regence facility · fee schedule · outpatient · +3 other terms | 20 | $913 | $1.4k | $991 | 72% | — | $869 – $4.0k |
| 20 | Highmark fee schedule · outpatient · +2 other terms | 17 | $1.4k | $1.4k | $751 | 53% | — | $457 – $6.1k |
| 21 | Tricare fee schedule · outpatient · +3 other terms | 17 | $834 | $872 | $88 | 10% | — | $779 – $1.0k |
| 22 | Medical Mutual facility · fee schedule · outpatient · +6 other terms | 16 | $817 | $1.0k | $630 | 62% | — | $442 – $3.2k |
| 23 | Phcs percent of total billed charges · bothfrom % of charges · +5 other terms | 16 | $2.6k | $2.5k | $440 | 18% | — | $1.5k – $2.9k |
| 24 | Ucare case rate · outpatient · +4 other terms | 15 | $1.1k | $1.1k | $19 | 2% | — | $1.0k – $1.1k |
| 25 | Bcbs Mn fee schedule · outpatient · +2 other terms | 13 | $1.1k | $1.4k | $780 | 57% | — | $463 – $3.7k |
← Hospitals reporting HCPCS C9793 · Snapshot 20261111T120946Z-9134e7f7