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
$20
Median
$17
High
$44
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 6.1× 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 | $41 | $44 | $16 | 36% | — | $6 – $56 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 22 | $26 | $24 | $10 | 41% | — | $10 – $38 |
| 3 | Wellmark fee schedule · both | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Aetna professional · fee schedule · outpatient · +3 other terms | 3 | $21 | $47 | $71 | 150% | — | $9 – $188 |
| 5 | Anthem facility · fee schedule · outpatient · +2 other terms | 3 | $16 | $17 | $5 | 27% | — | $0 – $21 |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 7 | Cigna fee schedule · both · +2 other terms | 2 | $6 | $7 | $1 | 18% | — | $5 – $8 |
| 8 | Healthpartners facility · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Kaiser facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 10 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Hospitals reporting HCPCS G9019 · Snapshot 20261113T090226Z-3ce6c0b8