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
Md/oth eval acut kid no esrd
Low
$0
Average
$768
Median
$680
High
$2.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 5.2× 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 | Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms | 40 | $484 | $831 | $1.3k | 156% | — | $159 – $7.7k |
| 2 | Bcbs Tx per diem · outpatient | 30 | $502 | $493 | $92 | 19% | — | $314 – $663 |
| 3 | Molina facility · case rate · outpatient · +7 other terms | 29 | $549 | $551 | $221 | 40% | — | $237 – $1.3k |
| 4 | Humana per diem · outpatient · +4 other terms | 25 | $732 | $760 | $117 | 15% | — | $682 – $1.3k |
| 5 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 18 | $578 | $893 | $762 | 85% | — | $107 – $2.3k |
| 6 | Anthem facility · case rate · outpatient · +9 other terms | 16 | $345 | $428 | $241 | 56% | — | $230 – $1.3k |
| 7 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $344 | $370 | $85 | 23% | — | $230 – $584 |
| 8 | Optum facility · case rate · outpatient · +2 other terms | 13 | $325 | $383 | $106 | 28% | — | $287 – $566 |
| 9 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1.2k | $975 | $464 | 48% | — | $196 – $1.6k |
| 10 | Aetna Better Health facility · case rate · outpatient | 7 | $715 | $708 | $17 | 2% | — | $655 – $715 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $655 | $664 | $21 | 3% | — | $655 – $715 |
| 12 | Aetna facility · case rate · outpatient · +7 other terms | 6 | $794 | $1.0k | $573 | 56% | — | $596 – $2.3k |
| 13 | MultiPlan percent of total billed charges · bothfrom % of charges · +1 other terms | 4 | $649 | $864 | $298 | 35% | — | $649 – $1.4k |
| 14 | First Health percent of total billed charges · bothfrom % of charges | 3 | $734 | $734 | — | — | — | $734 – $734 |
| 15 | Medicaid fee schedule · outpatient · +1 other terms | 3 | $270 | $270 | — | — | — | $270 – $270 |
| 16 | WellCare fee schedule · outpatient · +1 other terms | 3 | $272 | $273 | $1 | 0% | — | $272 – $275 |
| 17 | Wellmark facility · case rate · outpatient | 3 | $2.1k | $1.9k | $593 | 32% | — | $873 – $2.4k |
| 18 | Cigna other · outpatient · +6 other terms | 2 | $1.5k | $1.5k | $478 | 32% | — | $864 – $2.0k |
| 19 | Ambetter fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs Nj case rate · outpatient | 1 | $813 | $813 | — | — | — | $813 – $813 |
| 22 | Bcbs Nv fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 23 | Highmark fee schedule · outpatient | 1 | $502 | $502 | $209 | 42% | — | $354 – $797 |
← Hospitals reporting HCPCS G0492 · Snapshot 20261112T181611Z-3fa9fb76