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
facility
Low
$1
Average
$136
Median
$108
High
$421
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 21.2× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 175 | $1 | $1 | $0 | 26% | — | $0 – $2 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +14 other terms | 37 | $1 | $1 | $1 | 38% | — | $0 – $3 |
| 3 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +5 other terms | 35 | $23 | $192 | $315 | 164% | — | $0 – $782 |
| 4 | Aetna facility · fee schedule · outpatient · +14 other terms | 24 | $1 | $1 | $1 | 70% | — | $1 – $5 |
| 5 | Cigna facility · fee schedule · outpatient · +12 other terms | 18 | $1 | $1 | $0 | 32% | — | $0 – $1 |
| 6 | Anthem facility · case rate · outpatient · +8 other terms | 14 | $9 | $10 | $2 | 21% | — | $8 – $15 |
| 7 | Caresource facility · case rate · outpatient · +4 other terms | 14 | $9 | $10 | $2 | 21% | — | $8 – $15 |
| 8 | Molina facility · case rate · outpatient · +8 other terms | 14 | $9 | $10 | $2 | 21% | — | $8 – $15 |
| 9 | Optum facility · case rate · outpatient · +4 other terms | 11 | $8 | $9 | $2 | 22% | — | $7 – $13 |
| 10 | Magellan facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 7 | $1 | $3 | $5 | 160% | — | $0 – $16 |
| 11 | Aetna Better Health percent of total billed charges · outpatientfrom % of charges · +2 other terms | 5 | $27 | $26 | $2 | 7% | — | $23 – $27 |
| 12 | Excellus facility · fee schedule · outpatient · +3 other terms | 5 | $1 | $1 | $1 | 61% | — | $0 – $2 |
| 13 | Bcbs Al facility · other · outpatient | 4 | $15 | $15 | $14 | 91% | — | $1 – $29 |
| 14 | Devoted facility · other · outpatient · +3 other terms | 4 | $2 | $1 | $1 | 41% | — | $0 – $2 |
| 15 | Medicaid fee schedule · outpatient · +4 other terms | 4 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Superior Healthplan facility · fee schedule · outpatient · +2 other terms | 4 | $1 | $2 | $2 | 109% | — | $1 – $6 |
| 17 | First Health professional · fee schedule · both · +6 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Highmark professional · fee schedule · both · +3 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Humana fee schedule · outpatient · +8 other terms | 3 | $0 | $0 | $0 | 2% | — | $0 – $0 |
| 20 | Oscar facility · fee schedule · outpatient · +3 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Phcs facility · percent of total billed charges · bothfrom % of charges · +2 other terms | 3 | $251 | $246 | $202 | 82% | — | $31 – $472 |
| 22 | WellCare facility · fee schedule · outpatient · +4 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Beechstreet percent of total billed charges · outpatientfrom % of charges | 2 | $352 | $352 | $24 | 7% | — | $328 – $375 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 2 | $1 | $1 | $0 | 8% | — | $1 – $1 |
| 25 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS J0162 · Snapshot 20261111T120946Z-9134e7f7