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
Fee Schedule
Low
$12
Average
$30
Median
$22
High
$72
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 3.8× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · fee schedule · outpatient · +2 other terms | 10 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Anthem facility · fee schedule · outpatient · +4 other terms | 9 | $6 | $9 | $3 | 37% | — | $6 – $19 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $82 | $76 | $20 | 27% | — | $14 – $91 |
| 4 | Cigna fee schedule · outpatient · +4 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Excellus facility · fee schedule · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Highmark facility · percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $2 | 7% | — | $26 – $31 |
| 7 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 2 | $19 | $18 | $2 | 12% | — | $17 – $22 |
| 8 | First Health percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Healthpartners facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 10 | Molina fee schedule · outpatient | 1 | $16 | $16 | $2 | 12% | — | $14 – $18 |
| 11 | Tricare fee schedule · outpatient | 1 | $16 | $16 | $2 | 12% | — | $14 – $18 |
← Hospitals reporting HCPCS G6037 · Snapshot 20261112T181611Z-3fa9fb76