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
$11
Average
$38
Median
$31
High
$88
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 5.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna facility · fee schedule · outpatient · +1 other terms | 10 | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Anthem facility · fee schedule · outpatient · +3 other terms | 9 | $8 | $10 | $4 | 36% | — | $8 – $25 |
| 3 | Cigna fee schedule · outpatient · +3 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 5 | $100 | $94 | $9 | 10% | — | $78 – $104 |
| 5 | Excellus facility · fee schedule · outpatient | 2 | $13 | $13 | $0 | 0% | — | $13 – $13 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 2 | $22 | $20 | $2 | 12% | — | $19 – $25 |
| 7 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 8 | Healthpartners facility · fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
← Hospitals reporting HCPCS G6042 · Snapshot 20261112T181611Z-3fa9fb76