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
PR DOC PT PREG DUR MSRMT PD
Low
$0
Average
$7
Median
$7
High
$25
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 1588.2× 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 | Anthem facility · case rate · outpatient · +4 other terms | 16 | $10 | $19 | $19 | 99% | — | $7 – $60 |
| 2 | Caresource facility · case rate · outpatient · +3 other terms | 16 | $10 | $16 | $16 | 98% | — | $7 – $60 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 16 | $10 | $14 | $12 | 88% | — | $7 – $60 |
| 4 | Molina facility · case rate · outpatient · +3 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 5 | Optum facility · case rate · outpatient | 11 | $9 | $10 | $2 | 22% | — | $8 – $15 |
| 6 | Aetna professional · fee schedule · both · +1 other terms | 9 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Humana professional · fee schedule · both · +3 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | WellCare professional · fee schedule · both | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Aetna Better Health professional · fee schedule · both | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Bcbs Il professional · fee schedule · both | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Cigna professional · fee schedule · both · +1 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | First Health professional · fee schedule · both · +1 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Ambetter professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 2 | $6 | $6 | $1 | 17% | — | $4 – $7 |
| 15 | MultiPlan professional · fee schedule · both · +1 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Phcs professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Tricare professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS G9997 · Snapshot 20261113T090226Z-3ce6c0b8