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
E/M PROV. ESKETAMINE <OR =56MG
Low
$31
Average
$1.1k
Median
$977
High
$3.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 4.5× 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 | Wellmark case rate · outpatient · +11 other terms | 13 | $1.1k | $911 | $315 | 35% | 26–44 | $113 – $1.2k |
| 2 | Aetna fee schedule · outpatient · +19 other terms | 239 | $1.1k | $1.2k | $672 | 58% | — | $28 – $4.3k |
| 3 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 232 | $1.1k | $1.3k | $1.8k | 140% | — | $29 – $33.8k |
| 4 | Humana fee schedule · outpatient · +16 other terms | 207 | $1.1k | $970 | $404 | 42% | — | $29 – $2.6k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 185 | $739 | $814 | $1.2k | 148% | — | $0 – $8.9k |
| 6 | Cigna fee schedule · outpatient · +19 other terms | 117 | $1.1k | $1.2k | $720 | 59% | — | $31 – $3.7k |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 108 | $1.1k | $1.3k | $474 | 37% | — | $38 – $2.7k |
| 8 | Molina fee schedule · outpatient · +15 other terms | 81 | $1.2k | $1.2k | $552 | 46% | — | $28 – $2.4k |
| 9 | Anthem fee schedule · outpatient · +14 other terms | 66 | $1.1k | $687 | $513 | 75% | — | $33 – $2.1k |
| 10 | Ambetter facility · fee schedule · outpatient · +10 other terms | 58 | $2.2k | $2.1k | $616 | 29% | — | $467 – $2.9k |
| 11 | Kaiser fee schedule · outpatient · +7 other terms | 58 | $1.2k | $1.8k | $1.5k | 88% | — | $31 – $8.3k |
| 12 | Devoted fee schedule · outpatient · +8 other terms | 54 | $1.2k | $959 | $379 | 39% | — | $33 – $1.3k |
| 13 | Optum fee schedule · outpatient · +8 other terms | 32 | $933 | $1.1k | $1.0k | 91% | — | $33 – $3.8k |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $258 | $232 | $354 | 153% | — | $30 – $1.2k |
| 15 | Clover fee schedule · outpatient · +5 other terms | 29 | $1.3k | $1.2k | $110 | 9% | — | $995 – $1.4k |
| 16 | Medicare fee schedule · outpatient · +7 other terms | 24 | $33 | $262 | $440 | 168% | — | $31 – $1.1k |
| 17 | Caresource facility · case rate · outpatient · +13 other terms | 23 | $412 | $893 | $661 | 74% | — | $241 – $2.1k |
| 18 | Regence facility · fee schedule · outpatient · +8 other terms | 21 | $1.1k | $1.6k | $1.0k | 64% | — | $1.0k – $4.2k |
| 19 | Superior Healthplan facility · fee schedule · outpatient · +2 other terms | 21 | $1.1k | $1.1k | $25 | 2% | — | $1.0k – $1.1k |
| 20 | Oscar facility · fee schedule · outpatient · +10 other terms | 20 | $1.4k | $1.7k | $915 | 55% | — | $474 – $4.2k |
| 21 | Tricare fee schedule · outpatient · +5 other terms | 17 | $999 | $1.0k | $92 | 9% | — | $933 – $1.2k |
| 22 | Highmark fee schedule · outpatient · +8 other terms | 15 | $929 | $928 | $843 | 91% | — | $23 – $3.0k |
| 23 | Medica fee schedule · both · +10 other terms | 15 | $81 | $158 | $281 | 178% | — | $25 – $1.1k |
| 24 | MultiPlan fee schedule · outpatient · +9 other terms | 15 | $1.9k | $1.9k | $156 | 8% | — | $1.1k – $1.9k |
| 25 | Ucare case rate · outpatient · +6 other terms | 15 | $1.2k | $1.2k | $21 | 2% | — | $1.2k – $1.2k |
← Hospitals reporting HCPCS G2082 · Snapshot 20261111T120946Z-9134e7f7