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
Hosp bed semi-elect w/ mattr
Low
$3
Average
$291
Median
$163
High
$1.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 8.5× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +8 other terms | 267 | $78 | $127 | $133 | 105% | — | $56 – $798 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $79 | $204 | $655 | 322% | — | $50 – $7.8k |
| 3 | UnitedHealthcare fee schedule · outpatient · +10 other terms | 257 | $79 | $211 | $342 | 162% | — | $43 – $1.9k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 190 | $82 | $254 | $566 | 222% | — | $0 – $4.4k |
| 5 | WellCare fee schedule · outpatient · +1 other terms | 185 | $80 | $85 | $16 | 18% | — | $72 – $150 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $78 | $81 | $12 | 15% | — | $73 – $138 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $81 | $80 | $8 | 10% | — | $77 – $125 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $114 | $111 | $44 | 39% | — | $64 – $320 |
| 9 | Cigna fee schedule · outpatient · +5 other terms | 77 | $80 | $135 | $249 | 184% | — | $73 – $2.2k |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $81 | $83 | $8 | 10% | — | $81 – $128 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $77 | $89 | $32 | 36% | — | $73 – $217 |
| 12 | Clover fee schedule · outpatient | 34 | $81 | $80 | $11 | 14% | — | $72 – $116 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $105 | $110 | $35 | 32% | — | $75 – $414 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $78 | $94 | $37 | 39% | — | $73 – $194 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $78 | $81 | $13 | 16% | — | $73 – $119 |
| 16 | Oscar fee schedule · outpatient | 24 | $76 | $78 | $3 | 4% | — | $76 – $82 |
| 17 | Medicare fee schedule · outpatient | 18 | $73 | $79 | $15 | 19% | — | $73 – $119 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $94 | $97 | $12 | 12% | — | $89 – $132 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $78 | $78 | — | — | — | $78 – $78 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $591 | $585 | $481 | 82% | — | $54 – $1.1k |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1.0k | $1.0k | $268 | 26% | — | $514 – $1.2k |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $72 | $156 | $106 | 68% | — | $72 – $321 |
| 23 | MultiPlan facility · fee schedule · outpatient · +3 other terms | 11 | $324 | $314 | $29 | 9% | — | $221 – $324 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $201 | $205 | $241 | 118% | — | $34 – $757 |
| 25 | Medica fee schedule · outpatient · +6 other terms | 10 | $1.5k | $1.5k | $501 | 34% | — | $120 – $2.0k |
← Hospitals reporting HCPCS E0294 · Snapshot 20261112T181611Z-3fa9fb76