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 ongoing MS mo 16-18 WL
Low
$0
Average
$92
Median
$70
High
$355
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
37 payers; the 90th percentile is 8.7× 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 · +13 other terms | 51 | $358 | $312 | $168 | 54% | — | $49 – $487 |
| 2 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 51 | $257 | $220 | $166 | 76% | — | $47 – $791 |
| 3 | Aetna fee schedule · outpatient · +14 other terms | 22 | $60 | $92 | $94 | 102% | — | $38 – $498 |
| 4 | Cigna fee schedule · both · +10 other terms | 14 | $108 | $103 | $12 | 11% | — | $67 – $108 |
| 5 | Molina facility · case rate · outpatient · +8 other terms | 14 | $43 | $46 | $11 | 24% | — | $36 – $83 |
| 6 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 13 | $50 | $49 | $5 | 11% | — | $40 – $62 |
| 7 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $159 | $119 | $68 | 57% | — | $50 – $199 |
| 8 | Highmark fee schedule · outpatient · +4 other terms | 10 | $55 | $55 | $1 | 2% | — | $51 – $55 |
| 9 | Medica fee schedule · outpatient · +5 other terms | 10 | $95 | $95 | $24 | 26% | — | $57 – $122 |
| 10 | Ambetter other · outpatient · +3 other terms | 8 | $516 | $512 | $31 | 6% | — | $402 – $545 |
| 11 | Anthem other · outpatient · +6 other terms | 8 | $269 | $269 | — | — | — | $269 – $269 |
| 12 | First Health professional · fee schedule · both · +4 other terms | 8 | $0 | $21 | $27 | 129% | — | $0 – $55 |
| 13 | WellCare professional · fee schedule · both · +3 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Aetna Better Health fee schedule · inpatient · +4 other terms | 7 | $59 | $59 | — | — | — | $59 – $59 |
| 15 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $40 | $40 | $1 | 3% | — | $40 – $43 |
| 16 | Bcbs Il professional · fee schedule · both | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Caresource other · outpatient · +1 other terms | 6 | $482 | $491 | $20 | 4% | — | $482 – $536 |
| 18 | MultiPlan professional · fee schedule · both · +4 other terms | 3 | $0 | $25 | $35 | 141% | — | $0 – $74 |
| 19 | Phcs professional · fee schedule · both · +2 other terms | 3 | $0 | $25 | $35 | 141% | — | $0 – $74 |
| 20 | Wellmark facility · case rate · outpatient | 3 | $140 | $123 | $39 | 32% | — | $57 – $155 |
| 21 | Clover facility · other · outpatient | 2 | $143 | $143 | — | — | — | $143 – $143 |
| 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 | $143 | $143 | — | — | — | $143 – $143 |
| 25 | Tricare facility · fee schedule · outpatient | 2 | $143 | $143 | — | — | — | $143 – $143 |
← Hospitals reporting HCPCS G9883 · Snapshot 20261112T181611Z-3fa9fb76