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
Fee Schedule
Low
$15
Average
$682
Median
$134
High
$3.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 126.8× 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 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 30 | $74 | $65 | $47 | 73% | — | $0 – $148 |
| 2 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 6 | $2.6k | $3.0k | $2.1k | 70% | — | $27 – $5.5k |
| 3 | Anthem facility · fee schedule · outpatient · +1 other terms | 5 | $18 | $179 | $312 | 174% | — | $18 – $803 |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +6 other terms | 5 | $337 | $173 | $162 | 94% | — | $23 – $380 |
| 5 | Ambetter professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $42 | $42 | — | — | — | $42 – $42 |
| 7 | Phcs professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $46 | $46 | — | — | — | $46 – $46 |
| 8 | Aetna fee schedule · outpatient · +6 other terms | 2 | $34 | $34 | $0 | 1% | — | $34 – $34 |
| 9 | Excellus fee schedule · outpatient · +1 other terms | 2 | $76 | $76 | $9 | 12% | — | $50 – $79 |
| 10 | Highmark facility · fee schedule · outpatient | 2 | $16 | $17 | $2 | 11% | — | $14 – $18 |
| 11 | Humana fee schedule · outpatient · +3 other terms | 2 | $6.1k | $6.3k | $1.5k | 23% | — | $5.0k – $8.3k |
| 12 | Molina fee schedule · outpatient · +3 other terms | 2 | $79 | $79 | — | — | — | $79 – $79 |
| 13 | Tricare facility · fee schedule · outpatient | 2 | $867 | $867 | $541 | 62% | — | $326 – $1.4k |
| 14 | Cigna fee schedule · both · +5 other terms | 1 | $15 | $15 | $1 | 9% | — | $14 – $16 |
| 15 | First Health facility · other · outpatient · +2 other terms | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Healthpartners facility · fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 17 | Medicare facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Oscar facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | WellCare facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Hospitals reporting HCPCS G0275 · Snapshot 20261113T090226Z-3ce6c0b8