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
Monthly tx for dmht 20mins
Low
$25
Average
$148
Median
$132
High
$441
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 4.7× 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 | Aetna fee schedule · outpatient · +13 other terms | 351 | $138 | $165 | $94 | 57% | — | $24 – $882 |
| 2 | UnitedHealthcare fee schedule · outpatient · +17 other terms | 257 | $130 | $180 | $212 | 118% | — | $28 – $3.8k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 240 | $191 | $326 | $210 | 65% | — | $0 – $992 |
| 4 | Humana fee schedule · outpatient · +8 other terms | 212 | $130 | $129 | $37 | 29% | — | $28 – $385 |
| 5 | Cigna fee schedule · outpatient · +10 other terms | 139 | $138 | $182 | $123 | 68% | — | $28 – $689 |
| 6 | WellCare fee schedule · outpatient · +9 other terms | 116 | $134 | $154 | $47 | 31% | — | $121 – $302 |
| 7 | Molina fee schedule · outpatient · +8 other terms | 104 | $153 | $168 | $63 | 38% | — | $24 – $361 |
| 8 | Anthem fee schedule · outpatient · +9 other terms | 71 | $166 | $228 | $192 | 84% | — | $29 – $974 |
| 9 | Devoted fee schedule · outpatient · +4 other terms | 68 | $133 | $123 | $34 | 28% | — | $29 – $149 |
| 10 | Ambetter facility · fee schedule · outpatient · +5 other terms | 61 | $236 | $251 | $54 | 22% | — | $120 – $330 |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 59 | $193 | $243 | $184 | 75% | — | $28 – $1.0k |
| 12 | Oscar fee schedule · outpatient · +7 other terms | 45 | $254 | $188 | $114 | 61% | — | $1 – $380 |
| 13 | Optum fee schedule · outpatient · +9 other terms | 34 | $125 | $151 | $118 | 78% | — | $29 – $491 |
| 14 | Bcbs Tx fee schedule · outpatient | 31 | $448 | $424 | $199 | 47% | — | $121 – $866 |
| 15 | Caresource facility · fee schedule · outpatient · +6 other terms | 26 | $205 | $198 | $51 | 26% | — | $121 – $265 |
| 16 | Clover fee schedule · outpatient · +4 other terms | 26 | $141 | $138 | $8 | 6% | — | $120 – $152 |
| 17 | Medicare fee schedule · outpatient · +6 other terms | 18 | $29 | $29 | $1 | 2% | — | $28 – $30 |
| 18 | Regence facility · fee schedule · outpatient · +3 other terms | 18 | $139 | $140 | $9 | 7% | — | $119 – $168 |
| 19 | Highmark fee schedule · outpatient · +4 other terms | 15 | $164 | $159 | $73 | 46% | — | $27 – $390 |
| 20 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 15 | $126 | $158 | $100 | 63% | — | $69 – $501 |
| 21 | First Health fee schedule · outpatient · +1 other terms | 14 | $139 | $157 | $47 | 30% | — | $121 – $271 |
| 22 | Wellmark fee schedule · both · +2 other terms | 13 | $43 | $43 | $9 | 22% | — | $29 – $54 |
| 23 | Bcbs Nj fee schedule · outpatient | 12 | $145 | $305 | $205 | 67% | — | $141 – $623 |
| 24 | Cigna Healthspring fee schedule · both · +2 other terms | 12 | $28 | $29 | $0 | 1% | — | $28 – $30 |
| 25 | Medica facility · fee schedule · outpatient · +4 other terms | 11 | $129 | $105 | $45 | 43% | — | $18 – $138 |
← Hospitals reporting HCPCS G0553 · Snapshot 20261112T124536Z-e251e855