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
MAINTENANCE 5% WL FROM BASELINE WEIGHT IN MONTHS 7-12
Low
$0
Average
$23
Median
$20
High
$111
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 4.8× 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 | UnitedHealthcare fee schedule · both · +10 other terms | 24 | $21 | $20 | $3 | 13% | — | $8 – $23 |
| 2 | Aetna fee schedule · outpatient · +12 other terms | 13 | $21 | $31 | $28 | 91% | — | $6 – $79 |
| 3 | Molina facility · case rate · outpatient · +9 other terms | 12 | $43 | $49 | $14 | 29% | — | $36 – $83 |
| 4 | Humana fee schedule · outpatient · +10 other terms | 11 | $28 | $43 | $25 | 59% | — | $20 – $83 |
| 5 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 11 | $7 | $17 | $19 | 110% | — | $3 – $50 |
| 6 | Cigna professional · fee schedule · both · +8 other terms | 10 | $8 | $10 | $5 | 46% | — | $8 – $20 |
| 7 | Ambetter other · outpatient · +2 other terms | 8 | $15 | $15 | $1 | 6% | — | $12 – $16 |
| 8 | Anthem other · outpatient · +6 other terms | 8 | $8 | $8 | — | — | — | $8 – $8 |
| 9 | Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms | 7 | $6 | $18 | $20 | 110% | — | $3 – $50 |
| 10 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 6 | $43 | $43 | — | — | — | $43 – $43 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 6 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Caresource other · outpatient · +1 other terms | 6 | $14 | $15 | $1 | 4% | — | $14 – $16 |
| 13 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 3 | $6 | $5 | $3 | 53% | — | $0 – $7 |
| 14 | First Health professional · fee schedule · both · +3 other terms | 3 | $8 | $8 | — | — | — | $8 – $8 |
| 15 | Medicaid facility · case rate · outpatient · +1 other terms | 2 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Optum facility · case rate · outpatient · +1 other terms | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 17 | Wellmark facility · case rate · outpatient · +1 other terms | 2 | $106 | $106 | $49 | 46% | — | $57 – $155 |
| 18 | Bcbs Id facility · fee schedule · both | 1 | $111 | $111 | $30 | 27% | — | $81 – $142 |
| 19 | Bcbs La fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs Nj percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $3 | 29% | — | $6 – $15 |
| 21 | Bcbs Ny percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 22 | Carefirst professional · fee schedule · outpatient · +1 other terms | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Excellus professional · fee schedule · outpatient · +2 other terms | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | Healthpartners facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 25 | Highmark professional · fee schedule · outpatient · +1 other terms | 1 | $8 | $8 | — | — | — | $8 – $8 |
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