HCPCS G1011
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
CDSM, QUALIFID TOOL UNSPEC
Low
$0
Average
$5
Median
$0
High
$47
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare facility · case rate · outpatient · +14 other terms | 23 | $9 | $7 | $5 | 79% | — | $0 – $17 |
| 2 | Medcost facility · percent of total billed charges · bothfrom % of charges · +4 other terms | 17 | $1 | $1 | $0 | 10% | — | $1 – $1 |
| 3 | Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +2 other terms | 17 | $1 | $1 | $0 | 11% | — | $1 – $1 |
| 4 | Sanford Health Plan facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 17 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 5 | Oscar facility · percent of total billed charges · bothfrom % of charges · +3 other terms | 16 | $1 | $1 | $0 | 10% | — | $1 – $1 |
| 6 | Anthem facility · case rate · outpatient · +10 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 7 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $17 |
| 8 | Molina facility · case rate · outpatient · +6 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 9 | Ucare facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 15 | $0 | $1 | $0 | 57% | — | $0 – $1 |
| 10 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 12 | — | — | — | — | — | — – — |
| 11 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 12 | — | — | — | — | — | — – — |
| 12 | Aetna other · outpatient · +9 other terms | 11 | $0 | $0 | $0 | 100% | — | — – $0 |
| 13 | Optum other · outpatient · +6 other terms | 11 | $0 | $0 | — | — | — | — – $0 |
| 14 | Bcbs La other · outpatient · +1 other terms | 10 | $0 | $0 | — | — | — | — – $0 |
| 15 | Cigna other · outpatient · +12 other terms | 10 | $0 | $0 | — | — | — | — – $0 |
| 16 | Medica facility · case rate · outpatient · +5 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | First Health other · outpatient · +7 other terms | 6 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | MultiPlan other · outpatient · +6 other terms | 6 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | WellCare facility · other · outpatient · +5 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Blue Cross Blue Shield facility · other · outpatient · +11 other terms | 5 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Humana other · outpatient · +8 other terms | 5 | $0 | $0 | — | — | — | — – $0 |
| 22 | Tricare facility · other · outpatient · +6 other terms | 5 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Ambetter other · both · +3 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Healthpartners facility · other · outpatient · +2 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Phcs percent of total billed charges · bothfrom % of charges · +3 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS G1011 · Snapshot 20261113T090226Z-3ce6c0b8