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
HC IONM 1-1 REMOTE EA 15 MIN
Low
$0
Average
$1.1k
Median
$210
High
$9.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 107.5× 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 | UnitedHealthcare case rate · outpatient · +25 other terms | 346 | $1.7k | $1.7k | $1.7k | 97% | — | $1 – $22.4k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 140 | $84 | $92 | $50 | 54% | — | $0 – $302 |
| 3 | Humana fee schedule · outpatient · +24 other terms | 134 | $63 | $124 | $112 | 91% | — | $1 – $402 |
| 4 | Oscar case rate · outpatient · +15 other terms | 119 | $2.6k | $2.6k | $674 | 26% | — | $990 – $7.5k |
| 5 | Aetna fee schedule · outpatient · +24 other terms | 79 | $31 | $103 | $107 | 104% | — | $1 – $397 |
| 6 | Anthem fee schedule · outpatient · +17 other terms | 41 | $117 | $145 | $92 | 63% | — | $27 – $380 |
| 7 | Molina professional · fee schedule · outpatient · +16 other terms | 35 | $31 | $31 | $2 | 6% | — | $26 – $42 |
| 8 | Cigna fee schedule · outpatient · +22 other terms | 32 | $31 | $63 | $56 | 90% | — | $28 – $206 |
| 9 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $150 | $153 | $44 | 29% | — | $54 – $289 |
| 10 | Kaiser fee schedule · outpatient · +16 other terms | 26 | $31 | $31 | $3 | 10% | — | $28 – $46 |
| 11 | WellCare professional · fee schedule · outpatient · +15 other terms | 25 | $30 | $29 | $1 | 5% | — | $27 – $33 |
| 12 | Regence professional · fee schedule · outpatient · +3 other terms | 23 | $31 | $34 | $9 | 26% | — | $26 – $78 |
| 13 | Devoted fee schedule · outpatient · +6 other terms | 21 | $31 | $31 | $0 | 1% | — | $30 – $31 |
| 14 | Caresource facility · case rate · outpatient · +15 other terms | 20 | $354 | $300 | $179 | 60% | — | $29 – $635 |
| 15 | Medicare fee schedule · outpatient · +10 other terms | 18 | $30 | $30 | $1 | 2% | — | $28 – $31 |
| 16 | Medica facility · fee schedule · both · +11 other terms | 14 | $26 | $28 | $2 | 6% | — | $26 – $30 |
| 17 | Ambetter facility · fee schedule · outpatient · +11 other terms | 13 | $48 | $47 | $5 | 10% | — | $31 – $48 |
| 18 | Highmark fee schedule · outpatient · +8 other terms | 13 | $35 | $36 | $10 | 29% | — | $23 – $111 |
| 19 | Wellmark fee schedule · both · +7 other terms | 13 | $57 | $57 | $17 | 29% | — | $29 – $74 |
| 20 | Aetna Better Health fee schedule · outpatient · +9 other terms | 12 | $32 | $31 | $2 | 5% | — | $29 – $32 |
| 21 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $147 | $94 | $82 | 87% | — | $0 – $185 |
| 22 | Cigna Healthspring fee schedule · both · +2 other terms | 12 | $29 | $29 | $0 | 1% | — | $29 – $31 |
| 23 | Optum facility · case rate · outpatient · +8 other terms | 12 | $339 | $327 | $148 | 45% | — | $31 – $564 |
| 24 | MultiPlan fee schedule · both · +15 other terms | 11 | $59 | $58 | $3 | 5% | — | $51 – $63 |
| 25 | Tricare other · outpatient · +8 other terms | 11 | $14.9k | $9.4k | $7.2k | 76% | — | $31 – $14.9k |
← Hospitals reporting HCPCS G0453 · Snapshot 20261111T120946Z-9134e7f7