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
Tray
Low
$2
Average
$101
Median
$91
High
$323
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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +8 other terms | 267 | $93 | $84 | $36 | 43% | — | $7 – $378 |
| 2 | Aetna fee schedule · outpatient · +7 other terms | 259 | $95 | $109 | $93 | 85% | — | $4 – $1.1k |
| 3 | UnitedHealthcare fee schedule · outpatient · +10 other terms | 256 | $95 | $76 | $40 | 53% | — | $4 – $167 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 185 | $98 | $101 | $15 | 15% | — | $86 – $171 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 180 | $98 | $121 | $51 | 42% | — | $0 – $349 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $95 | $92 | $21 | 23% | — | $9 – $130 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $98 | $96 | $5 | 5% | — | $93 – $124 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $120 | $109 | $61 | 56% | — | $8 – $301 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $97 | $93 | $62 | 66% | — | $9 – $279 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $98 | $98 | $4 | 4% | — | $98 – $121 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $97 | $74 | $40 | 54% | — | $9 – $125 |
| 12 | Clover fee schedule · outpatient | 34 | $98 | $94 | $8 | 8% | — | $86 – $111 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $112 | $117 | $36 | 31% | — | $88 – $437 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $95 | $80 | $50 | 62% | — | $9 – $232 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $98 | $73 | $41 | 56% | — | $9 – $125 |
| 16 | Oscar fee schedule · outpatient | 24 | $91 | $95 | $4 | 4% | — | $91 – $99 |
| 17 | Medicare fee schedule · outpatient | 18 | $66 | $65 | $41 | 63% | — | $9 – $125 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $113 | $115 | $6 | 5% | — | $108 – $131 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $95 | $95 | — | — | — | $95 – $95 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $51 | $51 | $42 | 82% | — | $7 – $93 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $91 | $94 | $24 | 26% | — | $46 – $111 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $86 | $186 | $126 | 68% | — | $86 – $381 |
| 23 | MultiPlan facility · fee schedule · outpatient · +5 other terms | 11 | $34 | $55 | $67 | 122% | — | $34 – $266 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $68 | $71 | $59 | 83% | — | $4 – $300 |
| 25 | Medica fee schedule · outpatient · +6 other terms | 10 | $185 | $177 | $60 | 34% | — | $14 – $239 |
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