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
Consult slides prep elsewher
Low
$36
Average
$126
Median
$104
High
$321
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 4.8× 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 | Humana fee schedule · outpatient · +3 other terms | 70 | $203 | $399 | $254 | 64% | — | $78 – $727 |
| 2 | Molina facility · case rate · outpatient · +5 other terms | 29 | $39 | $53 | $26 | 49% | — | $22 – $136 |
| 3 | Aetna fee schedule · outpatient · +7 other terms | 22 | $76 | $124 | $107 | 87% | — | $41 – $413 |
| 4 | UnitedHealthcare professional · fee schedule · outpatient · +8 other terms | 19 | $127 | $144 | $57 | 40% | — | $48 – $285 |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $31 | $34 | $8 | 23% | — | $21 – $53 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $32 | $34 | $8 | 23% | — | $21 – $54 |
| 7 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 14 | $299 | $290 | $111 | 38% | — | $56 – $608 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 13 | $30 | $36 | $11 | 30% | — | $27 – $57 |
| 9 | Highmark fee schedule · outpatient · +1 other terms | 11 | $146 | $145 | $9 | 6% | — | $85 – $192 |
| 10 | Cigna professional · fee schedule · outpatient · +4 other terms | 10 | $44 | $48 | $5 | 10% | — | $44 – $57 |
| 11 | Aetna Better Health facility · case rate · outpatient | 7 | $72 | $71 | $1 | 1% | — | $69 – $72 |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $66 | $67 | $2 | 3% | — | $66 – $72 |
| 13 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 4 | $180 | $180 | — | — | — | $180 – $180 |
| 14 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $51 | $51 | — | — | — | $51 – $51 |
| 15 | Medica fee schedule · outpatient · +2 other terms | 3 | $77 | $77 | — | — | — | $77 – $77 |
| 16 | Wellmark facility · case rate · outpatient | 3 | $231 | $203 | $64 | 32% | — | $94 – $255 |
| 17 | Medicaid facility · case rate · outpatient | 2 | $60 | $60 | — | — | — | $60 – $60 |
| 18 | Bcbs Id professional · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 19 | Bcbs Mn fee schedule · outpatient | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 22 | Healthpartners facility · fee schedule · outpatient | 1 | $260 | $260 | — | — | — | $260 – $260 |
| 23 | WellCare facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Hospitals reporting HCPCS D0484 · Snapshot 20261112T124536Z-e251e855