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
Trtmnt simulation 3d image
Low
$76
Average
$147
Median
$140
High
$401
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
47 payers; the 90th percentile is 2.5× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +5 other terms | 282 | $95 | $143 | $163 | 114% | — | $49 – $1.5k |
| 2 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 167 | $93 | $160 | $172 | 107% | — | $77 – $2.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 166 | $94 | $170 | $126 | 75% | — | $49 – $794 |
| 4 | Humana fee schedule · outpatient · +4 other terms | 155 | $90 | $121 | $114 | 94% | — | $73 – $682 |
| 5 | Cigna fee schedule · outpatient · +4 other terms | 103 | $90 | $113 | $50 | 44% | — | $79 – $285 |
| 6 | Molina fee schedule · outpatient · +5 other terms | 89 | $103 | $117 | $39 | 33% | — | $54 – $236 |
| 7 | WellCare fee schedule · outpatient · +3 other terms | 77 | $89 | $108 | $39 | 36% | — | $80 – $206 |
| 8 | Devoted fee schedule · outpatient · +2 other terms | 47 | $95 | $90 | $6 | 7% | — | $81 – $98 |
| 9 | Ambetter facility · fee schedule · outpatient · +3 other terms | 40 | $152 | $156 | $32 | 21% | — | $94 – $212 |
| 10 | Oscar fee schedule · outpatient · +3 other terms | 39 | $181 | $169 | $37 | 22% | — | $103 – $248 |
| 11 | Anthem facility · fee schedule · outpatient · +5 other terms | 37 | $124 | $143 | $68 | 47% | — | $57 – $360 |
| 12 | Kaiser fee schedule · outpatient · +2 other terms | 26 | $187 | $175 | $80 | 46% | — | $88 – $377 |
| 13 | Bcbs Tx fee schedule · outpatient | 23 | $86 | $86 | $2 | 3% | — | $83 – $91 |
| 14 | Optum fee schedule · outpatient · +3 other terms | 23 | $91 | $134 | $71 | 53% | — | $79 – $321 |
| 15 | Clover fee schedule · outpatient · +2 other terms | 21 | $96 | $93 | $7 | 8% | — | $79 – $104 |
| 16 | Caresource facility · fee schedule · outpatient · +3 other terms | 17 | $133 | $125 | $35 | 28% | — | $89 – $173 |
| 17 | Regence facility · case rate · outpatient · +2 other terms | 16 | $91 | $110 | $53 | 48% | — | $82 – $283 |
| 18 | First Health fee schedule · outpatient | 14 | $91 | $103 | $30 | 29% | — | $91 – $177 |
| 19 | MultiPlan fee schedule · outpatient · +2 other terms | 14 | $146 | $146 | — | — | — | $146 – $146 |
| 20 | Highmark fee schedule · outpatient · +3 other terms | 13 | $181 | $183 | $96 | 52% | — | $40 – $302 |
| 21 | Bcbs Nj fee schedule · outpatient | 12 | $99 | $209 | $140 | 67% | — | $96 – $426 |
| 22 | Tricare fee schedule · outpatient · +2 other terms | 11 | $79 | $83 | $4 | 4% | — | $79 – $87 |
| 23 | Medical Mutual fee schedule · outpatient · +2 other terms | 10 | $241 | $217 | $74 | 34% | — | $76 – $366 |
| 24 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 7 | $98 | $98 | $1 | 1% | — | $94 – $98 |
| 25 | Amerihealth Caritas facility · case rate · outpatient · +3 other terms | 7 | $90 | $91 | $3 | 3% | — | $90 – $98 |
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