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
2 EM core MS mo 10-12 WL
Low
$0
Average
$116
Median
$86
High
$432
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +13 other terms | 51 | $429 | $394 | $187 | 48% | — | $59 – $584 |
| 2 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 51 | $257 | $227 | $161 | 71% | — | $47 – $791 |
| 3 | Aetna fee schedule · outpatient · +14 other terms | 22 | $76 | $135 | $169 | 125% | — | $60 – $882 |
| 4 | Cigna fee schedule · both · +10 other terms | 14 | $130 | $130 | $4 | 3% | — | $119 – $142 |
| 5 | Molina facility · case rate · outpatient · +11 other terms | 14 | $43 | $46 | $11 | 24% | — | $36 – $83 |
| 6 | Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms | 13 | $60 | $58 | $5 | 8% | — | $48 – $62 |
| 7 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $190 | $143 | $82 | 57% | — | $60 – $238 |
| 8 | Highmark fee schedule · outpatient · +5 other terms | 10 | $66 | $66 | $1 | 2% | — | $62 – $66 |
| 9 | Medica fee schedule · outpatient · +5 other terms | 10 | $114 | $114 | $29 | 26% | — | $69 – $147 |
| 10 | Ambetter other · outpatient · +3 other terms | 8 | $628 | $623 | $38 | 6% | — | $489 – $663 |
| 11 | Anthem other · outpatient · +6 other terms | 8 | $328 | $328 | — | — | — | $328 – $328 |
| 12 | First Health professional · fee schedule · both · +5 other terms | 8 | $0 | $37 | $48 | 129% | — | $0 – $98 |
| 13 | WellCare professional · fee schedule · both · +3 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Aetna Better Health fee schedule · inpatient · +5 other terms | 7 | $104 | $104 | — | — | — | $104 – $104 |
| 15 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $40 | $40 | $1 | 3% | — | $40 – $43 |
| 16 | Bcbs Il professional · fee schedule · both · +2 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Caresource other · outpatient · +2 other terms | 6 | $587 | $598 | $24 | 4% | — | $587 – $652 |
| 18 | MultiPlan professional · fee schedule · both · +4 other terms | 3 | $0 | $30 | $42 | 141% | — | $0 – $89 |
| 19 | Phcs professional · fee schedule · both · +2 other terms | 3 | $0 | $30 | $42 | 141% | — | $0 – $89 |
| 20 | Wellmark facility · case rate · outpatient | 3 | $140 | $123 | $39 | 32% | — | $57 – $155 |
| 21 | Clover facility · other · outpatient | 2 | $191 | $191 | $20 | 10% | — | $171 – $210 |
| 22 | Medicaid facility · case rate · outpatient · +1 other terms | 2 | $36 | $36 | — | — | — | $36 – $36 |
| 23 | Optum facility · case rate · outpatient · +2 other terms | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 24 | Oscar facility · other · outpatient · +1 other terms | 2 | $191 | $191 | $20 | 10% | — | $171 – $210 |
| 25 | Tricare facility · fee schedule · outpatient · +2 other terms | 2 | $191 | $191 | $20 | 10% | — | $171 – $210 |
← Hospitals reporting HCPCS G9879 · Snapshot 20261112T181611Z-3fa9fb76