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.
Generation details were not recorded for this description.
Original text from hospital filings
Family assessment
Low
$0
Average
$195
Median
$161
High
$655
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 32.1× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +5 other terms | 29 | $187 | $196 | $45 | 23% | — | $110 – $342 |
| 2 | Aetna fee schedule · outpatient · +7 other terms | 24 | $106 | $218 | $194 | 89% | — | $85 – $847 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 18 | $180 | $194 | $45 | 23% | — | $110 – $309 |
| 4 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $179 | $194 | $48 | 24% | — | $107 – $303 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $182 | $195 | $47 | 24% | — | $107 – $309 |
| 6 | Optum facility · case rate · outpatient · +2 other terms | 13 | $162 | $180 | $40 | 22% | — | $149 – $274 |
| 7 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $583 | $387 | $307 | 79% | — | $13 – $731 |
| 8 | Bcbs Tx per diem · outpatient | 11 | $640 | $655 | $74 | 11% | — | $514 – $803 |
| 9 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 11 | $55 | $53 | $34 | 64% | — | $0 – $126 |
| 10 | Cigna professional · fee schedule · outpatient · +1 other terms | 9 | $0 | $2 | $4 | 184% | — | $0 – $11 |
| 11 | Humana fee schedule · outpatient · +3 other terms | 9 | $85 | $198 | $127 | 64% | — | $85 – $342 |
| 12 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $87 | $87 | — | — | — | $87 – $87 |
| 13 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $173 | $175 | $6 | 3% | — | $173 – $189 |
| 14 | First Health professional · fee schedule · both | 3 | $93 | $93 | — | — | — | $93 – $93 |
| 15 | Wellmark facility · case rate · outpatient | 3 | $579 | $508 | $160 | 32% | — | $236 – $639 |
| 16 | Medicaid facility · case rate · outpatient | 2 | $157 | $157 | — | — | — | $157 – $157 |
| 17 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 19 | Highmark fee schedule · outpatient | 1 | $339 | $339 | $141 | 42% | — | $239 – $539 |
| 20 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 21 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | WellCare facility · case rate · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
← Hospitals reporting HCPCS H1011 · Snapshot 20261113T090226Z-3ce6c0b8