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
No surg proc w/in 30 days
Low
$0
Average
$1.6k
Median
$10
High
$14.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
9 payers; the 90th percentile is 39495.9× 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 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 16 | $12.0k | $14.9k | $6.5k | 44% | — | $6.7k – $31.9k |
| 2 | Anthem facility · case rate · outpatient · +1 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 3 | Caresource facility · case rate · outpatient | 15 | $10 | $11 | $2 | 23% | — | $7 – $17 |
| 4 | Molina facility · case rate · outpatient | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 5 | UnitedHealthcare facility · case rate · outpatient | 15 | $10 | $11 | $3 | 24% | — | $7 – $17 |
| 6 | Wellmark fee schedule · both | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Optum facility · case rate · outpatient | 11 | $9 | $10 | $2 | 22% | — | $8 – $15 |
| 8 | Aetna fee schedule · outpatient · +1 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Cigna fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS G8628 · Snapshot 20261113T090226Z-3ce6c0b8