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
PEP ACAPELLA 27-8000 BLUE SYSTEM
Low
$1
Average
$60
Median
$52
High
$216
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 3.3× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +15 other terms | 247 | $52 | $47 | $18 | 39% | — | $4 – $211 |
| 2 | Aetna fee schedule · outpatient · +13 other terms | 236 | $53 | $54 | $35 | 64% | — | $2 – $347 |
| 3 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 233 | $53 | $41 | $18 | 43% | — | $2 – $56 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +12 other terms | 184 | $54 | $58 | $23 | 40% | — | $0 – $169 |
| 5 | WellCare fee schedule · outpatient · +5 other terms | 169 | $54 | $56 | $9 | 16% | — | $52 – $103 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 151 | $53 | $51 | $8 | 17% | — | $5 – $56 |
| 7 | Cigna Healthspring fee schedule · outpatient | 104 | $54 | $54 | $1 | 3% | — | $53 – $57 |
| 8 | Molina fee schedule · outpatient · +11 other terms | 90 | $65 | $66 | $32 | 49% | — | $4 – $138 |
| 9 | Cigna fee schedule · outpatient · +12 other terms | 69 | $54 | $49 | $26 | 54% | — | $5 – $154 |
| 10 | Superior Healthplan fee schedule · outpatient · +2 other terms | 39 | $55 | $55 | — | — | — | $55 – $55 |
| 11 | Anthem fee schedule · outpatient · +13 other terms | 35 | $53 | $41 | $18 | 44% | — | $5 – $54 |
| 12 | Clover fee schedule · outpatient | 32 | $53 | $54 | $2 | 3% | — | $52 – $55 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $49 | $50 | $15 | 29% | — | $36 – $180 |
| 14 | Kaiser fee schedule · outpatient · +6 other terms | 24 | $54 | $39 | $19 | 49% | — | $5 – $54 |
| 15 | Optum fee schedule · outpatient · +7 other terms | 24 | $53 | $45 | $30 | 67% | — | $5 – $132 |
| 16 | Oscar fee schedule · outpatient · +2 other terms | 24 | $52 | $53 | $2 | 3% | — | $52 – $55 |
| 17 | Amerihealth Caritas fee schedule · outpatient · +4 other terms | 17 | $63 | $62 | $3 | 5% | — | $52 – $63 |
| 18 | Caresource fee schedule · outpatient · +4 other terms | 16 | $53 | $52 | $1 | 1% | — | $50 – $53 |
| 19 | Medicare fee schedule · outpatient | 15 | $31 | $31 | $19 | 62% | — | $5 – $52 |
| 20 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 14 | $57 | $57 | $5 | 8% | — | $53 – $62 |
| 21 | Wellmark fee schedule · both · +3 other terms | 13 | $28 | $28 | $23 | 82% | — | $4 – $52 |
| 22 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $46 | $47 | $12 | 26% | — | $23 – $56 |
| 23 | Bcbs Nj fee schedule · outpatient | 12 | $52 | $111 | $76 | 68% | — | $52 – $228 |
| 24 | Highmark fee schedule · outpatient · +5 other terms | 10 | $30 | $31 | $26 | 83% | — | $2 – $124 |
| 25 | Medcost professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 10 | $91 | $82 | $19 | 23% | — | $37 – $91 |
← Hospitals reporting HCPCS E0484 · Snapshot 20261111T120946Z-9134e7f7