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 >56MG
Low
$31
Average
$1.5k
Median
$1.4k
High
$4.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 6.3× 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 | $1.4k | $1.2k | $368 | 30% | 106 | $113 – $1.5k |
| 2 | Aetna fee schedule · outpatient · +22 other terms | 240 | $1.5k | $1.6k | $949 | 59% | — | $28 – $6.7k |
| 3 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 233 | $1.5k | $1.8k | $2.4k | 133% | — | $29 – $42.6k |
| 4 | Humana fee schedule · outpatient · +16 other terms | 209 | $1.5k | $1.3k | $572 | 43% | — | $29 – $3.2k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 187 | $1.1k | $1.2k | $1.9k | 156% | — | $0 – $14.2k |
| 6 | Cigna fee schedule · outpatient · +19 other terms | 118 | $1.6k | $1.8k | $1.2k | 68% | — | $31 – $10.9k |
| 7 | WellCare fee schedule · outpatient · +12 other terms | 108 | $1.5k | $1.7k | $612 | 36% | — | $38 – $3.4k |
| 8 | Molina fee schedule · outpatient · +16 other terms | 82 | $1.5k | $1.7k | $901 | 53% | — | $28 – $3.7k |
| 9 | Anthem fee schedule · outpatient · +15 other terms | 66 | $1.4k | $871 | $711 | 82% | — | $33 – $3.3k |
| 10 | Ambetter facility · fee schedule · outpatient · +10 other terms | 58 | $3.1k | $3.0k | $722 | 24% | — | $734 – $3.7k |
| 11 | Kaiser fee schedule · outpatient · +7 other terms | 58 | $1.5k | $2.6k | $2.2k | 87% | — | $31 – $11.4k |
| 12 | Devoted fee schedule · outpatient · +10 other terms | 55 | $1.5k | $1.3k | $511 | 38% | — | $33 – $1.7k |
| 13 | Optum fee schedule · outpatient · +8 other terms | 32 | $1.5k | $1.7k | $1.6k | 93% | — | $33 – $6.0k |
| 14 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $309 | $271 | $454 | 167% | — | $30 – $1.5k |
| 15 | Clover fee schedule · outpatient · +5 other terms | 29 | $1.6k | $1.6k | $89 | 6% | — | $1.4k – $1.8k |
| 16 | Medicare fee schedule · outpatient · +7 other terms | 24 | $33 | $328 | $566 | 172% | — | $31 – $1.4k |
| 17 | Caresource facility · case rate · outpatient · +13 other terms | 23 | $412 | $1.2k | $1.1k | 91% | — | $241 – $3.3k |
| 18 | Regence facility · fee schedule · outpatient · +8 other terms | 21 | $1.7k | $2.4k | $1.5k | 62% | — | $1.3k – $6.0k |
| 19 | Superior Healthplan facility · fee schedule · outpatient · +2 other terms | 21 | $1.7k | $1.7k | $40 | 2% | — | $1.6k – $1.7k |
| 20 | Oscar facility · fee schedule · outpatient · +10 other terms | 20 | $2.3k | $2.0k | $496 | 24% | — | $744 – $2.6k |
| 21 | Tricare fee schedule · outpatient · +6 other terms | 17 | $1.6k | $1.6k | $158 | 10% | — | $1.5k – $1.9k |
| 22 | Highmark fee schedule · outpatient · +8 other terms | 15 | $1.2k | $1.2k | $1.1k | 92% | — | $23 – $4.7k |
| 23 | Medica fee schedule · both · +11 other terms | 15 | $81 | $206 | $451 | 219% | — | $25 – $1.8k |
| 24 | MultiPlan fee schedule · outpatient · +11 other terms | 15 | $3.1k | $3.1k | $320 | 10% | — | $1.4k – $3.1k |
| 25 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 14 | $1.5k | $1.8k | $382 | 21% | — | $1.4k – $2.4k |
← Hospitals reporting HCPCS G2083 · Snapshot 20261111T120946Z-9134e7f7