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
Cocm by rhc/fqhc 60 min mo
Low
$27
Average
$170
Median
$153
High
$513
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
45 payers; the 90th percentile is 3.3× 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 fee schedule · outpatient · +16 other terms | 93 | $136 | $149 | $65 | 44% | — | $31 – $260 |
| 2 | Humana fee schedule · outpatient · +12 other terms | 89 | $143 | $369 | $264 | 72% | — | $116 – $760 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +11 other terms | 73 | $193 | $225 | $96 | 42% | — | $69 – $729 |
| 4 | Aetna fee schedule · outpatient · +14 other terms | 58 | $137 | $176 | $220 | 125% | — | $63 – $1.6k |
| 5 | Anthem fee schedule · outpatient · +8 other terms | 35 | $139 | $135 | $10 | 8% | — | $110 – $148 |
| 6 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $247 | $226 | $83 | 37% | — | $73 – $417 |
| 7 | Molina case rate · outpatient · +9 other terms | 28 | $133 | $140 | $50 | 36% | — | $46 – $212 |
| 8 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $78 | $63 | $17 | 27% | — | $18 – $84 |
| 9 | WellCare fee schedule · outpatient · +5 other terms | 21 | $136 | $136 | $5 | 4% | — | $130 – $148 |
| 10 | Cigna facility · fee schedule · outpatient · +10 other terms | 20 | $236 | $240 | $99 | 41% | — | $135 – $508 |
| 11 | Kaiser fee schedule · outpatient · +3 other terms | 20 | $143 | $365 | $298 | 82% | — | $143 – $1.2k |
| 12 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $167 | $130 | $74 | 57% | — | $13 – $220 |
| 13 | Wellmark fee schedule · both · +2 other terms | 13 | $112 | $111 | $12 | 10% | — | $72 – $141 |
| 14 | Aetna Better Health fee schedule · outpatient · +4 other terms | 12 | $145 | $139 | $7 | 5% | — | $130 – $145 |
| 15 | Ambetter case rate · outpatient · +6 other terms | 12 | $212 | $211 | $4 | 2% | — | $197 – $216 |
| 16 | Cigna Healthspring fee schedule · outpatient | 12 | $139 | $139 | — | — | — | $139 – $139 |
| 17 | Devoted fee schedule · outpatient · +3 other terms | 12 | $143 | $143 | $1 | 1% | — | $138 – $143 |
| 18 | Highmark fee schedule · outpatient · +4 other terms | 12 | $84 | $94 | $61 | 65% | — | $56 – $516 |
| 19 | Medica fee schedule · outpatient · +4 other terms | 11 | $224 | $224 | $69 | 31% | — | $112 – $309 |
| 20 | Sanford Health Plan fee schedule · outpatient · +3 other terms | 11 | $136 | $96 | $32 | 34% | — | $70 – $136 |
| 21 | Ucare fee schedule · both · +4 other terms | 9 | $144 | $144 | $4 | 3% | — | $140 – $148 |
| 22 | Oscar case rate · outpatient · +4 other terms | 8 | $219 | $219 | — | — | — | $219 – $219 |
| 23 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $52 | $53 | $2 | 3% | — | $52 – $57 |
| 24 | Regence fee schedule · outpatient · +4 other terms | 7 | $184 | $195 | $59 | 30% | — | $160 – $435 |
| 25 | Medicare fee schedule · both · +1 other terms | 5 | $77 | $76 | $1 | 1% | — | $75 – $77 |
← Hospitals reporting HCPCS G0512 · Snapshot 20261112T124536Z-e251e855