HCPCS G0400-TC
Low
$143
Average
$311
Median
$255
High
$643
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
5 payers; the 90th percentile is 2.6× 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 fee schedule · outpatient · +1 other terms | 4 | $278 | $279 | $51 | 18% | — | $207 – $322 |
| 2 | Anthem fee schedule · outpatient · +1 other terms | 4 | $666 | $659 | $411 | 62% | — | $207 – $1.2k |
| 3 | Humana fee schedule · outpatient | 4 | $262 | $262 | $44 | 17% | — | $217 – $306 |
| 4 | UnitedHealthcare fee schedule · outpatient | 4 | $255 | $255 | $48 | 19% | — | $207 – $303 |
| 5 | Blue Cross Blue Shield facility · fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
← Hospitals reporting HCPCS G0400-TC · Snapshot 20261115T194459Z-975ba28a