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
Trans bench w/wo comm open
Low
$0
Average
$51
Median
$45
High
$169
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 5.2× 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 | 65 | $26 | $26 | $15 | 56% | — | $5 – $47 |
| 2 | Aetna fee schedule · outpatient · +7 other terms | 28 | $43 | $76 | $86 | 114% | — | $2 – $353 |
| 3 | UnitedHealthcare fee schedule · both · +8 other terms | 26 | $17 | $38 | $34 | 90% | — | $3 – $125 |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms | 24 | $84 | $87 | $97 | 112% | — | $34 – $482 |
| 5 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $34 | $36 | $8 | 23% | — | $23 – $57 |
| 7 | Cigna fee schedule · both · +5 other terms | 15 | $62 | $55 | $40 | 73% | — | $4 – $104 |
| 8 | Molina facility · case rate · outpatient · +2 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 9 | Wellmark fee schedule · both · +1 other terms | 13 | $41 | $45 | $39 | 88% | — | $8 – $169 |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $103 | $78 | $43 | 55% | — | $34 – $129 |
| 11 | Regence fee schedule · outpatient · +1 other terms | 12 | $51 | $56 | $14 | 26% | — | $40 – $132 |
| 12 | Optum facility · case rate · outpatient · +1 other terms | 11 | $31 | $34 | $8 | 22% | — | $28 – $51 |
| 13 | Highmark fee schedule · outpatient · +1 other terms | 10 | $64 | $64 | $68 | 106% | — | $16 – $161 |
| 14 | Medica fee schedule · outpatient · +4 other terms | 10 | $91 | $87 | $30 | 34% | — | $6 – $118 |
| 15 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $22 | $22 | — | — | — | $22 – $22 |
| 16 | First Health professional · fee schedule · both | 3 | $19 | $19 | $13 | 71% | — | $3 – $33 |
| 17 | Kaiser fee schedule · both | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 18 | Tricare facility · fee schedule · outpatient | 2 | $145 | $145 | — | — | — | $145 – $145 |
| 19 | Bcbs Il professional · fee schedule · both | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 20 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs Nc facility · fee schedule · outpatient | 1 | $85 | $85 | $77 | 91% | — | $30 – $193 |
| 22 | Bcbs Nv fee schedule · outpatient | 1 | $19 | $19 | $12 | 63% | — | $3 – $32 |
| 23 | Bcbs Vt professional · fee schedule · outpatient | 1 | $15 | $15 | $10 | 62% | — | $3 – $26 |
| 24 | Healthpartners facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 25 | MultiPlan fee schedule · both · +1 other terms | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS E0247 · Snapshot 20261112T181611Z-3fa9fb76