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
$17
Average
$45
Median
$30
High
$174
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 3.8× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem facility · fee schedule · outpatient · +1 other terms | 5 | $20 | $200 | $347 | 173% | — | $20 – $895 |
| 2 | Humana professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Kaiser fee schedule · both | 2 | $30 | $30 | — | — | — | $30 – $30 |
| 4 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Aetna facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | $15 | 46% | — | $18 – $48 |
| 6 | Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | $0 | 1% | — | $17 – $17 |
| 7 | Cigna facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Highmark facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | $11 | 31% | — | $16 – $45 |
| 9 | UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | $12 | 43% | — | $17 – $41 |
← Hospitals reporting HCPCS G0367 · Snapshot 20261113T090226Z-3ce6c0b8