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
Care man h v ext pt 45 m
Low
$0
Average
$161
Median
$136
High
$486
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
48 payers; the 90th percentile is 3.1× 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 · +11 other terms | 107 | $122 | $253 | $152 | 60% | — | $111 – $478 |
| 2 | Aetna fee schedule · outpatient · +11 other terms | 82 | $121 | $193 | $190 | 98% | — | $79 – $1.4k |
| 3 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 71 | $121 | $157 | $58 | 37% | — | $111 – $308 |
| 4 | Anthem fee schedule · outpatient · +8 other terms | 43 | $421 | $532 | $365 | 69% | — | $114 – $1.5k |
| 5 | Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms | 42 | $362 | $387 | $248 | 64% | — | $66 – $1.2k |
| 6 | Molina facility · case rate · outpatient · +9 other terms | 39 | $95 | $87 | $64 | 73% | — | $14 – $256 |
| 7 | Cigna fee schedule · outpatient · +10 other terms | 26 | $121 | $139 | $56 | 41% | — | $111 – $361 |
| 8 | Kaiser fee schedule · outpatient · +4 other terms | 25 | $121 | $119 | $2 | 2% | — | $111 – $121 |
| 9 | Devoted fee schedule · outpatient · +5 other terms | 21 | $121 | $120 | $1 | 1% | — | $118 – $121 |
| 10 | Regence professional · fee schedule · outpatient · +1 other terms | 21 | $120 | $130 | $33 | 25% | — | $120 – $304 |
| 11 | Caresource facility · case rate · outpatient · +7 other terms | 20 | $22 | $71 | $83 | 118% | — | $13 – $249 |
| 12 | Medicare fee schedule · outpatient · +2 other terms | 18 | $118 | $116 | $3 | 2% | — | $111 – $121 |
| 13 | WellCare professional · fee schedule · both · +8 other terms | 17 | $115 | $85 | $55 | 65% | — | $0 – $188 |
| 14 | Optum facility · case rate · outpatient · +3 other terms | 14 | $19 | $41 | $37 | 89% | — | $17 – $124 |
| 15 | Wellmark fee schedule · both · +1 other terms | 13 | $159 | $159 | $26 | 16% | — | $115 – $174 |
| 16 | Aetna Better Health fee schedule · outpatient · +4 other terms | 12 | $126 | $121 | $6 | 5% | — | $114 – $126 |
| 17 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $574 | $460 | $228 | 50% | — | $124 – $719 |
| 18 | Cigna Healthspring fee schedule · both · +2 other terms | 12 | $114 | $115 | $2 | 1% | — | $114 – $120 |
| 19 | Highmark fee schedule · outpatient · +4 other terms | 12 | $160 | $166 | $37 | 22% | — | $116 – $435 |
| 20 | Medica fee schedule · outpatient · +4 other terms | 12 | $418 | $402 | $127 | 32% | — | $122 – $553 |
| 21 | Ambetter facility · fee schedule · outpatient · +8 other terms | 11 | $224 | $206 | $33 | 16% | — | $120 – $224 |
| 22 | MultiPlan fee schedule · both · +2 other terms | 11 | $230 | $226 | $11 | 5% | — | $197 – $245 |
| 23 | Medical Mutual facility · fee schedule · outpatient | 10 | $125 | $154 | $33 | 21% | — | $125 – $197 |
| 24 | Oscar fee schedule · outpatient · +1 other terms | 10 | $88 | $99 | $90 | 91% | — | $1 – $219 |
| 25 | Ucare fee schedule · both · +2 other terms | 9 | $248 | $255 | $86 | 34% | — | $124 – $318 |
← Hospitals reporting HCPCS G0083 · Snapshot 20261112T124536Z-e251e855