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
Fee Schedule
Low
$74
Average
$213
Median
$146
High
$562
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 3.8× 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 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 24 | $241 | $247 | $125 | 51% | — | $93 – $426 |
| 2 | UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 7 | $42 | $59 | $32 | 54% | — | $42 – $130 |
| 3 | First Health professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 6 | $147 | $147 | $21 | 14% | — | $126 – $189 |
| 4 | Humana professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 6 | $145 | $124 | $46 | 37% | — | $62 – $168 |
| 5 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 6 | $103 | $108 | $29 | 27% | — | $74 – $151 |
| 6 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $120 | $120 | — | — | — | $120 – $120 |
| 8 | Aetna professional · fee schedule · both · +5 other terms | 2 | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Ambetter professional · percent of total billed charges · bothfrom % of charges | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 10 | Cigna fee schedule · both · +5 other terms | 2 | $148 | $146 | $12 | 8% | — | $129 – $155 |
| 11 | Highmark facility · percent of total billed charges · outpatientfrom % of charges | 2 | $130 | $132 | $10 | 7% | — | $125 – $146 |
| 12 | Phcs professional · percent of total billed charges · bothfrom % of charges | 2 | $126 | $126 | — | — | — | $126 – $126 |
| 13 | Anthem fee schedule · outpatient · +1 other terms | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 14 | Healthpartners facility · fee schedule · outpatient | 1 | $373 | $373 | — | — | — | $373 – $373 |
| 15 | Kaiser fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
← Hospitals reporting HCPCS J0152 · Snapshot 20261113T090226Z-3ce6c0b8