HCPCS H2021
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
Com wrap-around sv- 15 min
Low
$0
Average
$41
Median
$9
High
$655
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +7 other terms | 20 | $6 | $19 | $22 | 114% | — | $6 – $76 |
| 2 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 15 | $6 | $6 | $5 | 91% | — | $2 – $15 |
| 3 | Bcbs Tx per diem · outpatient | 11 | $640 | $655 | $74 | 11% | — | $514 – $803 |
| 4 | Anthem fee schedule · both · +5 other terms | 10 | $24 | $26 | $4 | 15% | — | $24 – $34 |
| 5 | Highmark fee schedule · outpatient · +2 other terms | 10 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Ambetter other · outpatient | 8 | $33 | $32 | $2 | 6% | — | $25 – $34 |
| 7 | Humana other · outpatient · +3 other terms | 8 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 8 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 8 | $14 | $12 | $3 | 26% | — | $5 – $14 |
| 9 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $6 | $6 | — | — | — | $6 – $6 |
| 10 | WellCare percent of total billed charges · outpatientfrom % of charges | 7 | $2 | $2 | $0 | 10% | — | $1 – $2 |
| 11 | Caresource other · outpatient | 6 | $31 | $31 | $1 | 4% | — | $31 – $34 |
| 12 | Phcs percent of total billed charges · outpatientfrom % of charges | 5 | $12 | $12 | $3 | 27% | — | $6 – $16 |
| 13 | First Health professional · fee schedule · both | 3 | $7 | $7 | — | — | — | $7 – $7 |
| 14 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Optum facility · fee schedule · outpatient | 2 | $9 | $9 | $1 | 7% | — | $9 – $10 |
| 16 | Amerihealth Caritas professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 19 | Bcbs Wy fee schedule · both | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Cigna fee schedule · both · +2 other terms | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 21 | Medicaid facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 22 | Molina facility · fee schedule · outpatient · +1 other terms | 1 | $38 | $38 | — | — | — | $38 – $38 |
← Hospitals reporting HCPCS H2021 · Snapshot 20261113T090226Z-3ce6c0b8