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
Cyto Vag/Cer W/Manu W/Phy Sup
Low
$14
Average
$63
Median
$51
High
$209
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 payers; the 90th percentile is 4.4× 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 | UnitedHealthcare fee schedule · outpatient · +24 other terms | 593 | $27 | $31 | $19 | 63% | 105–114 | $10 – $238 |
| 2 | Wellmark case rate · outpatient · +11 other terms | 13 | $27 | $29 | $8 | 29% | 42 | $26 – $61 |
| 3 | Humana fee schedule · outpatient · +19 other terms | 390 | $27 | $46 | $63 | 138% | 16 | $19 – $319 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 381 | $36 | $58 | $55 | 94% | 12 | $0 – $598 |
| 5 | Aetna fee schedule · outpatient · +21 other terms | 573 | $27 | $54 | $49 | 90% | — | $0 – $570 |
| 6 | Cigna fee schedule · outpatient · +19 other terms | 389 | $49 | $59 | $42 | 71% | — | $5 – $266 |
| 7 | WellCare fee schedule · outpatient · +13 other terms | 250 | $27 | $28 | $4 | 15% | — | $23 – $53 |
| 8 | Molina fee schedule · outpatient · +20 other terms | 207 | $39 | $38 | $16 | 43% | — | $12 – $94 |
| 9 | Devoted fee schedule · outpatient · +7 other terms | 193 | $26 | $27 | $1 | 3% | — | $26 – $31 |
| 10 | Oscar fee schedule · outpatient · +11 other terms | 160 | $51 | $57 | $19 | 33% | — | $26 – $81 |
| 11 | Anthem fee schedule · outpatient · +16 other terms | 124 | $56 | $70 | $49 | 70% | — | $13 – $199 |
| 12 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 124 | $28 | $27 | $1 | 3% | — | $26 – $29 |
| 13 | Kaiser fee schedule · outpatient · +11 other terms | 77 | $27 | $35 | $18 | 52% | — | $5 – $99 |
| 14 | Ambetter facility · fee schedule · outpatient · +12 other terms | 75 | $47 | $48 | $12 | 25% | — | $26 – $68 |
| 15 | Caresource fee schedule · outpatient · +11 other terms | 53 | $27 | $31 | $7 | 22% | — | $19 – $52 |
| 16 | Medica facility · fee schedule · outpatient · +13 other terms | 42 | $26 | $28 | $11 | 38% | — | $9 – $104 |
| 17 | Optum fee schedule · outpatient · +8 other terms | 42 | $26 | $41 | $24 | 58% | — | $26 – $126 |
| 18 | Superior Healthplan fee schedule · outpatient | 42 | $28 | $28 | $1 | 4% | — | $26 – $42 |
| 19 | Clover fee schedule · outpatient · +3 other terms | 41 | $27 | $27 | $1 | 2% | — | $26 – $28 |
| 20 | Highmark facility · fee schedule · outpatient · +12 other terms | 41 | $50 | $93 | $89 | 96% | — | $18 – $362 |
| 21 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $103 | $108 | $46 | 42% | — | $26 – $228 |
| 22 | Tricare facility · fee schedule · outpatient · +7 other terms | 31 | $25 | $25 | $1 | 6% | — | $22 – $28 |
| 23 | Regence facility · fee schedule · outpatient · +8 other terms | 26 | $28 | $33 | $14 | 44% | — | $23 – $79 |
| 24 | First Health fee schedule · outpatient · +10 other terms | 22 | $26 | $41 | $27 | 65% | — | $26 – $151 |
| 25 | Medicare facility · fee schedule · outpatient · +6 other terms | 22 | $26 | $26 | $0 | 1% | — | $26 – $26 |
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