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
Remove drug implant
Low
$138
Average
$782
Median
$440
High
$9.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 6.0× 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 | Aetna fee schedule · outpatient · +12 other terms | 379 | $491 | $1.5k | $2.3k | 155% | — | $88 – $21.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +17 other terms | 367 | $450 | $1.2k | $1.5k | 129% | — | $99 – $11.7k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +13 other terms | 270 | $766 | $992 | $1.1k | 115% | — | $1 – $10.0k |
| 4 | Humana fee schedule · outpatient · +16 other terms | 259 | $407 | $644 | $950 | 148% | — | $99 – $7.0k |
| 5 | Cigna case rate · outpatient · +16 other terms | 199 | $2.7k | $2.6k | $862 | 33% | — | $389 – $5.9k |
| 6 | WellCare fee schedule · outpatient · +10 other terms | 125 | $426 | $605 | $674 | 111% | — | $115 – $4.3k |
| 7 | Molina fee schedule · outpatient · +10 other terms | 112 | $418 | $518 | $243 | 47% | — | $88 – $1.0k |
| 8 | Anthem case rate · outpatient · +11 other terms | 75 | $2.3k | $2.9k | $1.4k | 48% | — | $255 – $8.8k |
| 9 | Devoted fee schedule · outpatient · +5 other terms | 67 | $426 | $398 | $108 | 27% | — | $106 – $499 |
| 10 | Kaiser fee schedule · outpatient · +6 other terms | 64 | $745 | $960 | $901 | 94% | — | $99 – $4.3k |
| 11 | Ambetter facility · fee schedule · outpatient · +8 other terms | 51 | $761 | $743 | $170 | 23% | — | $309 – $962 |
| 12 | Optum fee schedule · outpatient · +6 other terms | 51 | $367 | $458 | $330 | 72% | — | $106 – $1.6k |
| 13 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $532 | $554 | $232 | 42% | — | $284 – $1.5k |
| 14 | Oscar fee schedule · outpatient · +8 other terms | 31 | $719 | $744 | $1.0k | 135% | — | $1 – $4.4k |
| 15 | Clover fee schedule · outpatient · +5 other terms | 30 | $446 | $989 | $1.3k | 132% | — | $397 – $4.4k |
| 16 | Caresource facility · fee schedule · outpatient · +9 other terms | 26 | $687 | $668 | $167 | 25% | — | $435 – $889 |
| 17 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $730 | $837 | $307 | 37% | — | $363 – $1.6k |
| 18 | Medicare fee schedule · outpatient · +5 other terms | 24 | $106 | $772 | $1.4k | 183% | — | $99 – $4.2k |
| 19 | Regence professional · fee schedule · outpatient · +6 other terms | 21 | $159 | $172 | $79 | 46% | — | $107 – $546 |
| 20 | Aetna Better Health fee schedule · outpatient · +5 other terms | 18 | $232 | $226 | $92 | 41% | — | $111 – $374 |
| 21 | Highmark fee schedule · outpatient · +5 other terms | 18 | $381 | $368 | $259 | 70% | — | $95 – $1.3k |
| 22 | Tricare fee schedule · outpatient · +5 other terms | 17 | $434 | $1.5k | $2.0k | 131% | — | $380 – $5.1k |
| 23 | MultiPlan fee schedule · outpatient · +8 other terms | 15 | $639 | $630 | $48 | 8% | — | $375 – $639 |
| 24 | Ucare case rate · outpatient · +5 other terms | 15 | $419 | $413 | $7 | 2% | — | $399 – $419 |
| 25 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 14 | $425 | $537 | $344 | 64% | — | $230 – $1.7k |
← Hospitals reporting HCPCS G0517 · Snapshot 20261112T124536Z-e251e855