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
$26
Average
$175
Median
$155
High
$700
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 22 | $103 | $131 | $58 | 44% | — | $12 – $251 |
| 2 | Anthem facility · fee schedule · outpatient · +8 other terms | 19 | $29 | $34 | $15 | 43% | — | $29 – $129 |
| 3 | Medcost percent of total billed charges · bothfrom % of charges | 16 | $130 | $156 | $56 | 36% | — | $83 – $315 |
| 4 | Cigna fee schedule · outpatient · +9 other terms | 10 | $1 | $71 | $71 | 100% | — | $1 – $189 |
| 5 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +5 other terms | 7 | $258 | $283 | $268 | 95% | — | $17 – $934 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +11 other terms | 4 | $75 | $101 | $91 | 90% | — | $24 – $277 |
| 7 | Aetna facility · other · outpatient · +12 other terms | 3 | $205 | $152 | $75 | 49% | — | $46 – $205 |
| 8 | Excellus facility · fee schedule · outpatient | 3 | $64 | $171 | $107 | 62% | — | $64 – $277 |
| 9 | Ambetter per diem · inpatient · +2 other terms | 2 | $700 | $700 | $355 | 51% | — | $345 – $1.1k |
| 10 | Devoted case rate · inpatient · +2 other terms | 2 | $700 | $700 | $355 | 51% | — | $345 – $1.1k |
| 11 | Humana case rate · inpatient · +6 other terms | 2 | $700 | $700 | $355 | 51% | — | $345 – $1.1k |
| 12 | Medica per diem · inpatient | 2 | $700 | $700 | $355 | 51% | — | $345 – $1.1k |
| 13 | Tricare case rate · inpatient · +2 other terms | 2 | $700 | $700 | $355 | 51% | — | $345 – $1.1k |
| 14 | WellCare case rate · inpatient · +3 other terms | 2 | $700 | $700 | $355 | 51% | — | $345 – $1.1k |
| 15 | Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | $55 | 53% | — | $25 – $145 |
| 16 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | $11 | 11% | — | $81 – $102 |
| 17 | Caresource fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 18 | First Health facility · other · outpatient · +5 other terms | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 19 | Healthpartners facility · fee schedule · outpatient · +1 other terms | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 20 | Highmark facility · other · outpatient · +2 other terms | 1 | $66 | $66 | $17 | 26% | — | $44 – $93 |
| 21 | Kaiser percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $26 | $26 | $8 | 29% | — | $19 – $34 |
| 22 | Magellan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 23 | Medicaid facility · fee schedule · outpatient · +1 other terms | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 24 | Medicare fee schedule · outpatient · +1 other terms | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 25 | Molina facility · fee schedule · outpatient · +2 other terms | 1 | $146 | $146 | — | — | — | $146 – $146 |
← Hospitals reporting HCPCS G0431 · Snapshot 20261112T181611Z-3fa9fb76