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
Follow up home visit/prental
Low
$0
Average
$69
Median
$39
High
$655
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 12358.5× 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 | Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms | 24 | $190 | $209 | $205 | 98% | — | $0 – $795 |
| 2 | Aetna fee schedule · outpatient · +8 other terms | 20 | $31 | $74 | $76 | 103% | — | $21 – $310 |
| 3 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $167 | $127 | $71 | 56% | — | $54 – $210 |
| 4 | Bcbs Tx per diem · outpatient | 11 | $640 | $655 | $74 | 11% | — | $514 – $803 |
| 5 | Medica fee schedule · both · +1 other terms | 9 | $53 | $53 | — | — | — | $53 – $53 |
| 6 | Ucare fee schedule · both · +1 other terms | 9 | $52 | $52 | $1 | 3% | — | $51 – $54 |
| 7 | Anthem professional · fee schedule · outpatient · +2 other terms | 8 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | First Health professional · fee schedule · both · +3 other terms | 8 | $0 | $13 | $17 | 129% | — | $0 – $34 |
| 9 | UnitedHealthcare professional · fee schedule · both · +6 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | WellCare professional · fee schedule · both | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $32 | $32 | — | — | — | $32 – $32 |
| 12 | Bcbs Il professional · fee schedule · both | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Humana professional · fee schedule · both · +3 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Molina professional · fee schedule · both · +1 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Caresource professional · fee schedule · both | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Cigna professional · fee schedule · both · +3 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Ambetter professional · fee schedule · both · +2 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | MultiPlan professional · fee schedule · both · +3 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Optum facility · fee schedule · outpatient | 2 | $45 | $45 | $3 | 7% | — | $42 – $48 |
| 20 | Phcs professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Bcbs Vt professional · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 23 | Medicaid facility · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
← Hospitals reporting HCPCS H1004 · Snapshot 20261113T090226Z-3ce6c0b8