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
Repl semi/precision attach
Low
$100
Average
$1.1k
Median
$691
High
$8.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 9.6× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +5 other terms | 70 | $1.5k | $1.2k | $693 | 58% | — | $232 – $2.0k |
| 2 | Molina facility · case rate · outpatient · +4 other terms | 30 | $1.5k | $4.7k | $19.2k | 411% | — | $207 – $111.7k |
| 3 | Aetna fee schedule · outpatient · +8 other terms | 22 | $217 | $630 | $630 | 100% | — | $133 – $1.8k |
| 4 | UnitedHealthcare professional · fee schedule · outpatient · +9 other terms | 19 | $357 | $455 | $147 | 32% | — | $181 – $826 |
| 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 | Optum facility · case rate · outpatient · +1 other terms | 13 | $1.4k | $1.3k | $202 | 16% | — | $799 – $1.4k |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 11 | $751 | $884 | $359 | 41% | — | $751 – $2.0k |
| 9 | Cigna professional · fee schedule · outpatient · +4 other terms | 10 | $168 | $172 | $6 | 3% | — | $168 – $181 |
| 10 | Highmark fee schedule · outpatient · +1 other terms | 10 | $366 | $366 | — | — | — | $366 – $366 |
| 11 | Aetna Better Health facility · case rate · outpatient | 7 | $1.0k | $1.0k | $13 | 1% | — | $967 – $1.0k |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $925 | $937 | $29 | 3% | — | $925 – $1.0k |
| 13 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 4 | $450 | $353 | $143 | 41% | — | $90 – $450 |
| 14 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 4 | $127 | $100 | $40 | 41% | — | $25 – $127 |
| 15 | Medica fee schedule · outpatient · +2 other terms | 3 | $307 | $307 | — | — | — | $307 – $307 |
| 16 | Wellmark facility · case rate · outpatient | 3 | $3.2k | $2.8k | $887 | 32% | — | $1.3k – $3.5k |
| 17 | Medicaid facility · case rate · outpatient | 2 | $841 | $841 | — | — | — | $841 – $841 |
| 18 | Bcbs Id professional · fee schedule · outpatient | 1 | $422 | $422 | — | — | — | $422 – $422 |
| 19 | Bcbs Mn fee schedule · outpatient | 1 | $781 | $781 | — | — | — | $781 – $781 |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 21 | Bcbs Ny percent of total billed charges · bothfrom % of charges | 1 | $691 | $691 | — | — | — | $691 – $691 |
| 22 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $257 | $257 | $29 | 11% | — | $228 – $286 |
| 23 | Bcbs Vt professional · fee schedule · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 24 | Excellus percent of total billed charges · bothfrom % of charges | 1 | $691 | $691 | — | — | — | $691 – $691 |
| 25 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $734 | $734 | — | — | — | $734 – $734 |
← Hospitals reporting HCPCS D6091 · Snapshot 20261112T124536Z-e251e855