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
Arm trough each
Low
$2
Average
$103
Median
$95
High
$340
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.6× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +6 other terms | 267 | $99 | $90 | $39 | 43% | — | $7 – $403 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $101 | $115 | $89 | 78% | — | $5 – $842 |
| 3 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 256 | $101 | $81 | $43 | 52% | — | $5 – $155 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 185 | $103 | $108 | $18 | 17% | — | $96 – $195 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 181 | $106 | $128 | $59 | 46% | — | $0 – $423 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $101 | $97 | $22 | 23% | — | $10 – $138 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $105 | $102 | $6 | 6% | — | $99 – $131 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $127 | $116 | $64 | 56% | — | $8 – $319 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $104 | $101 | $64 | 64% | — | $10 – $293 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $104 | $105 | $4 | 4% | — | $104 – $128 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $100 | $76 | $41 | 54% | — | $10 – $129 |
| 12 | Clover fee schedule · outpatient | 34 | $104 | $104 | $8 | 8% | — | $98 – $128 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $116 | $121 | $37 | 31% | — | $91 – $451 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $101 | $83 | $53 | 63% | — | $10 – $248 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $101 | $75 | $42 | 56% | — | $10 – $129 |
| 16 | Oscar fee schedule · outpatient | 24 | $97 | $101 | $4 | 4% | — | $97 – $106 |
| 17 | Medicare fee schedule · outpatient | 18 | $68 | $69 | $44 | 63% | — | $10 – $129 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $121 | $123 | $8 | 6% | — | $115 – $146 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $101 | $101 | — | — | — | $101 – $101 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $58 | $58 | $47 | 82% | — | $8 – $106 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $105 | $108 | $28 | 26% | — | $53 – $129 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $98 | $212 | $144 | 68% | — | $98 – $434 |
| 23 | MultiPlan facility · fee schedule · outpatient · +2 other terms | 11 | $36 | $62 | $82 | 133% | — | $36 – $323 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $72 | $75 | $62 | 83% | — | $5 – $309 |
| 25 | Medica fee schedule · outpatient · +5 other terms | 10 | $194 | $186 | $63 | 34% | — | $15 – $251 |
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