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
HC VISIT TO DETERM LDCT ELIG
Low
$23
Average
$3.1k
Median
$105
High
$72.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 119.1× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +37 other terms | 283 | $93 | $109 | $148 | 136% | 29–38 | $1 – $2.7k |
| 2 | Ucare professional · fee schedule · outpatient · +15 other terms | 18 | $25 | $25 | $5 | 22% | 21–39 | $15 – $50 |
| 3 | Humana fee schedule · outpatient · +29 other terms | 261 | $90 | $72 | $39 | 54% | 13–22 | $1 – $207 |
| 4 | Kaiser fee schedule · outpatient · +19 other terms | 67 | $147 | $165 | $121 | 73% | 2–20 | $23 – $597 |
| 5 | Regence professional · fee schedule · outpatient · +15 other terms | 31 | $26 | $43 | $20 | 47% | 2–20 | $21 – $88 |
| 6 | Medica professional · fee schedule · outpatient · +19 other terms | 22 | $29 | $27 | $10 | 36% | 1–10 | $1 – $50 |
| 7 | Premera fee schedule · outpatient · +12 other terms | 10 | $303 | $276 | $90 | 33% | 1–10 | $134 – $409 |
| 8 | Aetna fee schedule · outpatient · +34 other terms | 314 | $101 | $108 | $80 | 74% | — | $1 – $633 |
| 9 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 246 | $108 | $134 | $114 | 85% | — | $0 – $701 |
| 10 | Cigna fee schedule · outpatient · +29 other terms | 134 | $102 | $116 | $96 | 83% | — | $23 – $526 |
| 11 | WellCare fee schedule · outpatient · +23 other terms | 109 | $97 | $104 | $43 | 42% | — | $19 – $217 |
| 12 | Molina fee schedule · outpatient · +25 other terms | 101 | $97 | $104 | $58 | 56% | — | $1 – $235 |
| 13 | Anthem fee schedule · outpatient · +28 other terms | 76 | $127 | $168 | $140 | 83% | — | $0 – $743 |
| 14 | Ambetter facility · fee schedule · outpatient · +18 other terms | 64 | $198 | $190 | $47 | 25% | — | $28 – $237 |
| 15 | Devoted fee schedule · outpatient · +13 other terms | 50 | $94 | $87 | $26 | 30% | — | $24 – $113 |
| 16 | Optum fee schedule · outpatient · +20 other terms | 37 | $92 | $90 | $79 | 88% | — | $22 – $375 |
| 17 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 27 | $651 | $662 | $733 | 111% | — | $97 – $1.8k |
| 18 | Caresource facility · case rate · outpatient · +16 other terms | 26 | $69 | $59 | $58 | 99% | — | $5 – $208 |
| 19 | Clover fee schedule · outpatient · +9 other terms | 26 | $101 | $101 | $5 | 5% | — | $92 – $114 |
| 20 | Oscar fee schedule · outpatient · +19 other terms | 24 | $82 | $78 | $81 | 104% | — | $1 – $290 |
| 21 | Highmark facility · fee schedule · outpatient · +18 other terms | 22 | $116 | $108 | $109 | 101% | — | $19 – $340 |
| 22 | MultiPlan fee schedule · outpatient · +17 other terms | 22 | $143 | $125 | $43 | 35% | — | $31 – $227 |
| 23 | Superior Healthplan facility · fee schedule · outpatient · +4 other terms | 21 | $107 | $105 | $2 | 2% | — | $102 – $107 |
| 24 | Medicare fee schedule · outpatient · +13 other terms | 20 | $24 | $32 | $24 | 75% | — | $23 – $113 |
| 25 | Aetna Better Health fee schedule · outpatient · +11 other terms | 19 | $26 | $41 | $26 | 64% | — | $21 – $87 |
← Hospitals reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7