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
$29
Median
$22
High
$63
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
7 payers; the 90th percentile is 4.4× 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 | $26 | $26 | — | — | — | $26 – $26 |
| 2 | Anthem facility · fee schedule · outpatient · +2 other terms | 9 | $8 | $11 | $4 | 35% | — | $8 – $24 |
| 3 | Cigna fee schedule · outpatient · +2 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 5 | $44 | $41 | $4 | 10% | — | $34 – $45 |
| 5 | Excellus facility · fee schedule · outpatient | 2 | $13 | $13 | $0 | 0% | — | $13 – $13 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient | 2 | $21 | $19 | $2 | 12% | — | $18 – $24 |
| 7 | Healthpartners facility · fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
← Hospitals reporting HCPCS G6054 · Snapshot 20261112T181611Z-3fa9fb76