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
$1
Average
$29
Median
$29
High
$82
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 5.7× 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 | MultiPlan fee schedule · outpatient · +7 other terms | 11 | $35 | $38 | $4 | 10% | — | $35 – $43 |
| 2 | UnitedHealthcare fee schedule · outpatient · +10 other terms | 11 | $25 | $24 | $12 | 47% | — | $6 – $43 |
| 3 | Phcs fee schedule · inpatient · +4 other terms | 10 | $29 | $35 | $7 | 20% | — | $29 – $43 |
| 4 | Cigna professional · fee schedule · both · +10 other terms | 9 | $15 | $14 | $5 | 35% | — | $0 – $15 |
| 5 | Medica fee schedule · outpatient · +2 other terms | 9 | $21 | $34 | $10 | 29% | — | $15 – $42 |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 8 | $36 | $40 | $16 | 41% | — | $19 – $88 |
| 7 | Devoted facility · fee schedule · outpatient | 7 | $11 | $12 | $3 | 21% | — | $11 – $19 |
| 8 | First Health professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 6 | $29 | $31 | $3 | 10% | — | $29 – $38 |
| 9 | Anthem facility · fee schedule · outpatient · +5 other terms | 5 | $38 | $33 | $33 | 97% | — | $7 – $87 |
| 10 | Medicare facility · percent of total billed charges · outpatientfrom % of charges | 5 | $14 | $15 | $1 | 7% | — | $14 – $16 |
| 11 | Aetna fee schedule · outpatient · +11 other terms | 4 | $56 | $56 | $14 | 25% | — | $42 – $70 |
| 12 | Humana fee schedule · outpatient · +9 other terms | 4 | $21 | $21 | $4 | 20% | — | $15 – $27 |
| 13 | Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $48 | $39 | $13 | 34% | — | $20 – $48 |
| 14 | Bcbs Mi facility · case rate · outpatient | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | Medical Mutual facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $28 | $28 | $9 | 31% | — | $20 – $37 |
| 16 | Molina facility · case rate · outpatient · +1 other terms | 2 | $55 | $55 | $17 | 31% | — | $38 – $72 |
| 17 | Tricare fee schedule · outpatient · +2 other terms | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 18 | Wellmark fee schedule · inpatient | 2 | $26 | $26 | $1 | 3% | — | $25 – $26 |
| 19 | Ambetter professional · fee schedule · both · +3 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs Ca facility · fee schedule · outpatient | 1 | $1 | $1 | $0 | 8% | — | $1 – $1 |
| 21 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $1 | 14% | — | $6 – $8 |
| 22 | Caresource professional · fee schedule · both · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Healthpartners facility · fee schedule · outpatient · +2 other terms | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 24 | Kaiser facility · fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 25 | Optum facility · per diem · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
← Hospitals reporting HCPCS G0436 · Snapshot 20261112T181611Z-3fa9fb76