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
Phone/Inter Svs 21-30 M
Low
$0
Average
$75
Median
$64
High
$200
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
45 payers; the 90th percentile is 2.8× 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 | Humana fee schedule · outpatient · +8 other terms | 139 | $45 | $47 | $5 | 11% | — | $33 – $63 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +11 other terms | 82 | $171 | $195 | $77 | 40% | — | $0 – $380 |
| 3 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 65 | $53 | $74 | $28 | 38% | — | $45 – $134 |
| 4 | Aetna fee schedule · outpatient · +13 other terms | 62 | $53 | $75 | $50 | 66% | — | $43 – $314 |
| 5 | Anthem fee schedule · outpatient · +7 other terms | 43 | $184 | $238 | $160 | 67% | — | $50 – $653 |
| 6 | Bcbs Tx fee schedule · outpatient | 30 | $219 | $200 | $74 | 37% | — | $64 – $369 |
| 7 | Cigna fee schedule · outpatient · +10 other terms | 25 | $53 | $59 | $25 | 41% | — | $48 – $156 |
| 8 | Kaiser fee schedule · outpatient · +4 other terms | 25 | $53 | $52 | $1 | 2% | — | $48 – $53 |
| 9 | Devoted fee schedule · outpatient · +6 other terms | 22 | $53 | $53 | $1 | 2% | — | $52 – $58 |
| 10 | Caresource fee schedule · outpatient · +6 other terms | 18 | $45 | $46 | $3 | 6% | — | $45 – $52 |
| 11 | Medicare fee schedule · outpatient · +3 other terms | 18 | $52 | $51 | $1 | 2% | — | $48 – $53 |
| 12 | Molina facility · fee schedule · outpatient · +8 other terms | 17 | $55 | $51 | $18 | 35% | — | $29 – $113 |
| 13 | WellCare facility · fee schedule · outpatient · +8 other terms | 15 | $55 | $54 | $3 | 6% | — | $46 – $58 |
| 14 | Wellmark fee schedule · both | 13 | $77 | $76 | $17 | 22% | — | $50 – $96 |
| 15 | Cigna Healthspring fee schedule · both · +2 other terms | 12 | $50 | $50 | $1 | 1% | — | $50 – $53 |
| 16 | Medical Mutual facility · fee schedule · outpatient | 10 | $55 | $68 | $14 | 21% | — | $55 – $87 |
| 17 | Optum fee schedule · outpatient · +5 other terms | 10 | $52 | $52 | $0 | 1% | — | $52 – $53 |
| 18 | Ambetter facility · fee schedule · outpatient · +5 other terms | 9 | $99 | $94 | $15 | 16% | — | $53 – $99 |
| 19 | Medica fee schedule · both · +4 other terms | 9 | $54 | $54 | $0 | 1% | — | $53 – $54 |
| 20 | Oscar fee schedule · outpatient · +3 other terms | 9 | $39 | $39 | $38 | 99% | — | $1 – $98 |
| 21 | Ucare fee schedule · both · +2 other terms | 9 | $108 | $111 | $37 | 34% | — | $54 – $138 |
| 22 | Bcbs Mn fee schedule · both · +3 other terms | 8 | $81 | $81 | $20 | 25% | — | $52 – $96 |
| 23 | Sanford Health Plan fee schedule · both · +2 other terms | 8 | $50 | $50 | — | — | — | $50 – $50 |
| 24 | Aetna Better Health fee schedule · outpatient · +3 other terms | 6 | $50 | $51 | $2 | 5% | — | $50 – $57 |
| 25 | Clover fee schedule · outpatient · +3 other terms | 5 | $52 | $55 | $4 | 7% | — | $52 – $60 |
← Hospitals reporting HCPCS G0548 · Snapshot 20261111T120946Z-9134e7f7