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
$83
Median
$43
High
$948
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 4.0× 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 | MultiPlan fee schedule · outpatient · +7 other terms | 11 | $71 | $61 | $13 | 22% | — | $43 – $73 |
| 2 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 11 | $37 | $35 | $19 | 54% | — | $12 – $63 |
| 3 | Phcs fee schedule · inpatient · +4 other terms | 10 | $59 | $53 | $8 | 15% | — | $43 – $59 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 9 | $41 | $44 | $17 | 40% | — | $19 – $88 |
| 5 | Medica fee schedule · outpatient · +2 other terms | 9 | $43 | $38 | $8 | 21% | — | $15 – $43 |
| 6 | Cigna professional · fee schedule · both · +10 other terms | 8 | $32 | $32 | — | — | — | $32 – $32 |
| 7 | First Health professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 6 | $59 | $62 | $6 | 10% | — | $59 – $76 |
| 8 | Medicare facility · percent of total billed charges · outpatientfrom % of charges | 5 | $27 | $29 | $2 | 7% | — | $27 – $33 |
| 9 | Aetna fee schedule · outpatient · +10 other terms | 4 | $109 | $109 | $29 | 26% | — | $80 – $138 |
| 10 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $29 | $29 | — | — | — | $29 – $29 |
| 11 | Devoted facility · fee schedule · outpatient | 4 | $22 | $25 | $6 | 25% | — | $22 – $36 |
| 12 | Humana fee schedule · outpatient · +6 other terms | 4 | $21 | $21 | $4 | 20% | — | $15 – $27 |
| 13 | Ambetter professional · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 3 | $37 | $30 | $10 | 34% | — | $15 – $37 |
| 14 | Anthem facility · fee schedule · outpatient · +4 other terms | 3 | $41 | $30 | $22 | 74% | — | $14 – $76 |
| 15 | Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $100 | $80 | $28 | 34% | — | $41 – $100 |
| 16 | Wellmark facility · per diem · inpatient · +1 other terms | 3 | $1.8k | $1.7k | $934 | 55% | — | $928 – $3.0k |
| 17 | Highmark facility · fee schedule · outpatient | 2 | $31 | $33 | $3 | 11% | — | $28 – $35 |
| 18 | Molina fee schedule · outpatient | 2 | $63 | $63 | — | — | — | $63 – $63 |
| 19 | Tricare fee schedule · outpatient · +1 other terms | 2 | $63 | $63 | — | — | — | $63 – $63 |
| 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 | $14 | $14 | $2 | 11% | — | $12 – $15 |
| 22 | Healthpartners facility · fee schedule · outpatient · +2 other terms | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 23 | Kaiser facility · fee schedule · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 24 | Optum facility · per diem · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 25 | Oscar percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | $25 | 38% | — | $40 – $90 |
← Hospitals reporting HCPCS G0437 · Snapshot 20261112T181611Z-3fa9fb76