Low
$56
Average
$244
Median
$210
High
$500
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 8 | $386 | $342 | $80 | 23% | — | $169 – $412 |
| 2 | Humana professional · percent of total billed charges · bothfrom % of charges | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 3 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $67 | $67 | — | — | — | $67 – $67 |
| 4 | Anthem facility · fee schedule · outpatient | 1 | $500 | $500 | — | — | — | $500 – $500 |
← Hospitals reporting HCPCS J0128 · Snapshot 20261113T090226Z-3ce6c0b8