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
PC IME REVIEW MEDICAL EXAM WC
Low
$103
Average
$157
Median
$165
High
$212
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 1.6× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 5 | $137 | $137 | — | — | — | $137 – $137 |
| 2 | Humana professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 5 | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Aetna facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 3 | $163 | $159 | $7 | 4% | — | $150 – $165 |
| 4 | Blue Cross Blue Shield facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $86 | $95 | $24 | 25% | — | $72 – $127 |
| 5 | UnitedHealthcare facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $163 | $154 | $23 | 15% | — | $122 – $177 |
| 6 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $176 | $176 | $8 | 5% | — | $167 – $184 |
| 7 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $212 | $24 | 11% | — | $188 – $235 |
| 8 | Molina fee schedule · outpatient · +1 other terms | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 9 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +2 other terms | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 10 | Regence percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | — | $182 – $182 |
← Hospitals reporting HCPCS D0019 · Snapshot 20261113T090226Z-3ce6c0b8