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
Other Specified Case Mgmt
Low
$0
Average
$162
Median
$98
High
$551
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
29 payers; the 90th percentile is 18.7× 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 fee schedule · outpatient · +10 other terms | 40 | $27 | $27 | $36 | 133% | — | $0 – $174 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 34 | $98 | $267 | $369 | 138% | — | $21 – $1.5k |
| 3 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 31 | $29 | $51 | $34 | 67% | — | $29 – $174 |
| 4 | Molina facility · case rate · outpatient · +4 other terms | 29 | $34 | $61 | $43 | 70% | — | $14 – $182 |
| 5 | Cigna fee schedule · outpatient · +8 other terms | 16 | $35 | $35 | $6 | 17% | — | $26 – $45 |
| 6 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $20 | $22 | $5 | 23% | — | $13 – $34 |
| 7 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $20 | $22 | $5 | 23% | — | $13 – $34 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 13 | $19 | $29 | $20 | 70% | — | $17 – $76 |
| 9 | Wellmark fee schedule · both · +1 other terms | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $65 | $49 | $28 | 57% | — | $21 – $82 |
| 11 | Humana fee schedule · outpatient · +7 other terms | 9 | $0 | $81 | $90 | 112% | — | $0 – $183 |
| 12 | Medica fee schedule · both · +1 other terms | 9 | $21 | $21 | — | — | — | $21 – $21 |
| 13 | Ucare fee schedule · both · +1 other terms | 9 | $20 | $20 | $1 | 3% | — | $20 – $21 |
| 14 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $88 | $89 | $3 | 3% | — | $88 – $96 |
| 16 | Medicaid facility · case rate · outpatient | 4 | $63 | $63 | $17 | 27% | — | $46 – $80 |
| 17 | First Health professional · fee schedule · both · +2 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 3 | $567 | $614 | $266 | 43% | — | $260 – $1.2k |
| 19 | Tricare facility · fee schedule · outpatient | 3 | $110 | $198 | $124 | 63% | — | $110 – $374 |
| 20 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs Nj facility · other · outpatient · +2 other terms | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 22 | Bcbs Vt professional · fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Clover facility · other · outpatient | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 24 | Devoted facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 25 | Highmark facility · other · outpatient · +1 other terms | 1 | $234 | $234 | $140 | 60% | — | $94 – $374 |
← Hospitals reporting HCPCS G9012 · Snapshot 20261112T124536Z-e251e855