HCPCS G0169
Low
$78
Average
$185
Median
$211
High
$243
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 3.0× 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 | Aetna percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 2 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 3 | Caresource fee schedule · outpatient | 1 | $243 | $243 | — | — | — | $243 – $243 |
| 4 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 5 | Medicaid percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 6 | Medicare fee schedule · outpatient | 1 | $243 | $243 | — | — | — | $243 – $243 |
| 7 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 8 | WellCare percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
← Hospitals reporting HCPCS G0169 · Snapshot 20261113T090226Z-3ce6c0b8