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
$1
Average
$8
Median
$3
High
$27
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 11.7× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient | 35 | $7 | $8 | $3 | 36% | — | $1 – $10 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 22 | $2 | $1 | $1 | 35% | — | $1 – $3 |
| 3 | Wellmark fee schedule · both | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Aetna professional · fee schedule · outpatient · +4 other terms | 3 | $3 | $39 | $74 | 190% | — | $1 – $188 |
| 5 | Anthem facility · fee schedule · outpatient · +2 other terms | 3 | $1 | $2 | $0 | 27% | — | $0 – $2 |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Cigna fee schedule · both · +3 other terms | 2 | $1 | $1 | $0 | 18% | — | $1 – $1 |
| 8 | Healthpartners facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Kaiser facility · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS G9017 · Snapshot 20261113T090226Z-3ce6c0b8