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
Post removal
Low
$0
Average
$1.1k
Median
$297
High
$8.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
29 payers; the 90th percentile is 25.2× 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 | Humana fee schedule · outpatient · +5 other terms | 70 | $667 | $638 | $612 | 96% | — | $104 – $3.1k |
| 2 | Molina facility · case rate · outpatient · +5 other terms | 30 | $1.5k | $5.0k | $19.2k | 383% | — | $207 – $111.7k |
| 3 | Aetna fee schedule · outpatient · +8 other terms | 22 | $97 | $604 | $1.0k | 166% | — | $60 – $3.0k |
| 4 | UnitedHealthcare professional · fee schedule · outpatient · +9 other terms | 19 | $159 | $201 | $68 | 34% | — | $83 – $370 |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.5k – $108.4k |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $1.5k | $8.6k | $26.7k | 309% | — | $1.4k – $108.4k |
| 7 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 13 | $64 | $79 | $53 | 67% | — | $64 – $263 |
| 8 | Optum facility · case rate · outpatient · +2 other terms | 13 | $1.4k | $1.4k | $13 | 1% | — | $1.3k – $1.4k |
| 9 | Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms | 11 | $1 | $267 | $800 | 299% | — | $0 – $2.7k |
| 10 | Highmark fee schedule · outpatient · +1 other terms | 11 | $119 | $122 | $21 | 17% | — | $119 – $342 |
| 11 | Cigna professional · fee schedule · outpatient · +5 other terms | 10 | $77 | $79 | $3 | 3% | — | $77 – $82 |
| 12 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $14 | $14 | — | — | — | $14 – $14 |
| 13 | Aetna Better Health facility · case rate · outpatient | 7 | $1.7k | $1.7k | $21 | 1% | — | $1.6k – $1.7k |
| 14 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $1.5k | $1.6k | $49 | 3% | — | $1.5k – $1.7k |
| 15 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $102 | $102 | — | — | — | $102 – $102 |
| 16 | Medica fee schedule · outpatient · +2 other terms | 3 | $140 | $140 | — | — | — | $140 – $140 |
| 17 | Wellmark facility · case rate · outpatient | 3 | $5.3k | $4.7k | $1.5k | 32% | — | $2.2k – $5.9k |
| 18 | Medicaid facility · case rate · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Bcbs Id professional · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 20 | Bcbs Mn fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs Nv fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 22 | Bcbs Ny percent of total billed charges · bothfrom % of charges | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 23 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | $14 | 11% | — | $104 – $131 |
| 24 | Bcbs Vt professional · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 25 | Excellus percent of total billed charges · bothfrom % of charges | 1 | $257 | $257 | — | — | — | $257 – $257 |
← Hospitals reporting HCPCS D2955 · Snapshot 20261112T124536Z-e251e855