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
$15
Average
$43
Median
$36
High
$99
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 5.5× 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 | Aetna facility · fee schedule · outpatient · +1 other terms | 10 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Anthem facility · fee schedule · outpatient · +3 other terms | 9 | $9 | $13 | $5 | 35% | — | $9 – $28 |
| 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 | $114 | $107 | $11 | 10% | — | $89 – $118 |
| 5 | Excellus facility · fee schedule · outpatient | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 2 | $25 | $23 | $3 | 12% | — | $22 – $29 |
| 7 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 8 | Healthpartners facility · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Hospitals reporting HCPCS G6052 · Snapshot 20261112T181611Z-3fa9fb76