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
NAV SRV PEER SUP 60 MIN PR M
Low
$45
Average
$125
Median
$115
High
$281
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +13 other terms | 274 | $101 | $127 | $77 | 61% | — | $33 – $633 |
| 2 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 255 | $97 | $134 | $146 | 109% | — | $42 – $2.7k |
| 3 | Humana fee schedule · outpatient · +14 other terms | 211 | $94 | $95 | $27 | 28% | — | $38 – $207 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 171 | $199 | $239 | $130 | 54% | — | $0 – $654 |
| 5 | Cigna fee schedule · outpatient · +13 other terms | 133 | $105 | $155 | $122 | 79% | — | $45 – $608 |
| 6 | WellCare fee schedule · outpatient · +11 other terms | 111 | $95 | $109 | $38 | 35% | — | $45 – $217 |
| 7 | Molina fee schedule · outpatient · +10 other terms | 88 | $98 | $116 | $48 | 41% | — | $40 – $235 |
| 8 | Anthem fee schedule · outpatient · +11 other terms | 70 | $202 | $244 | $158 | 65% | — | $47 – $743 |
| 9 | Kaiser fee schedule · outpatient · +7 other terms | 58 | $147 | $178 | $124 | 70% | — | $45 – $669 |
| 10 | Devoted fee schedule · outpatient · +6 other terms | 56 | $97 | $91 | $18 | 19% | — | $47 – $113 |
| 11 | Ambetter facility · fee schedule · outpatient · +9 other terms | 45 | $173 | $188 | $39 | 21% | — | $86 – $237 |
| 12 | Optum fee schedule · outpatient · +6 other terms | 45 | $92 | $108 | $75 | 69% | — | $45 – $375 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $296 | $281 | $130 | 46% | — | $87 – $571 |
| 14 | Clover fee schedule · outpatient · +4 other terms | 26 | $101 | $101 | $5 | 5% | — | $92 – $114 |
| 15 | MultiPlan fee schedule · outpatient · +8 other terms | 24 | $143 | $153 | $34 | 22% | — | $87 – $279 |
| 16 | Oscar fee schedule · outpatient · +8 other terms | 22 | $121 | $106 | $78 | 73% | — | $1 – $290 |
| 17 | Regence facility · fee schedule · outpatient · +2 other terms | 20 | $107 | $140 | $74 | 53% | — | $86 – $337 |
| 18 | Medicare fee schedule · outpatient · +4 other terms | 18 | $47 | $46 | $1 | 2% | — | $45 – $48 |
| 19 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 17 | $92 | $79 | $22 | 28% | — | $45 – $97 |
| 20 | Caresource facility · fee schedule · outpatient · +7 other terms | 16 | $173 | $148 | $34 | 23% | — | $87 – $194 |
| 21 | Highmark fee schedule · outpatient · +4 other terms | 16 | $100 | $99 | $47 | 47% | — | $42 – $298 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $96 | $120 | $77 | 64% | — | $52 – $382 |
| 23 | Aetna Better Health fee schedule · outpatient · +5 other terms | 13 | $50 | $121 | $99 | 82% | — | $50 – $352 |
| 24 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $96 | $120 | $67 | 56% | — | $40 – $315 |
| 25 | Wellmark fee schedule · both · +4 other terms | 13 | $66 | $67 | $14 | 21% | — | $46 – $115 |
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