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
Fqhc visit, mh estab pt
Low
$0
Average
$121
Median
$108
High
$564
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 14.4× 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 | Aetna fee schedule · outpatient · +6 other terms | 17 | $112 | $184 | $156 | 85% | — | $78 – $721 |
| 2 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $58 | $63 | $15 | 23% | — | $39 – $98 |
| 3 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $59 | $63 | $14 | 23% | — | $39 – $100 |
| 4 | Molina facility · case rate · outpatient · +1 other terms | 15 | $58 | $63 | $15 | 23% | — | $40 – $98 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +7 other terms | 15 | $59 | $64 | $15 | 23% | — | $40 – $100 |
| 6 | Wellmark fee schedule · both | 13 | $104 | $104 | — | — | — | $104 – $104 |
| 7 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $717 | $523 | $324 | 62% | — | $182 – $898 |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 11 | $182 | $172 | $41 | 24% | — | $0 – $182 |
| 9 | Optum facility · case rate · outpatient · +2 other terms | 11 | $54 | $60 | $13 | 22% | — | $49 – $89 |
| 10 | Cigna professional · fee schedule · outpatient · +2 other terms | 9 | $2 | $6 | $8 | 134% | — | $2 – $23 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $116 | $116 | — | — | — | $116 – $116 |
| 12 | Humana fee schedule · inpatient · +2 other terms | 5 | $112 | $112 | — | — | — | $112 – $112 |
| 13 | First Health professional · fee schedule · both | 3 | $124 | $124 | — | — | — | $124 – $124 |
| 14 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Bcbs Nc facility · fee schedule · outpatient | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 17 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | $9 | 12% | — | $64 – $81 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 19 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
← Hospitals reporting HCPCS G0470 · Snapshot 20261113T090226Z-3ce6c0b8