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
Fee Schedule
Low
$4
Average
$19
Median
$13
High
$71
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 5.7× 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 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 24 | $22 | $22 | $11 | 49% | — | $9 – $38 |
| 2 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges | 5 | $25 | $30 | $16 | 53% | — | $10 – $54 |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 3 | $29 | $18 | $11 | 61% | — | $7 – $29 |
| 4 | Cigna facility · fee schedule · outpatient · +3 other terms | 3 | $8 | $10 | $5 | 51% | — | $7 – $21 |
| 5 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $80 | $84 | $13 | 16% | — | $60 – $102 |
| 6 | Humana fee schedule · outpatient · +1 other terms | 2 | $8 | $9 | $2 | 19% | — | $7 – $11 |
| 7 | Molina percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | $3 | 10% | — | $27 – $32 |
| 8 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Anthem fee schedule · outpatient · +2 other terms | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 10 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 11 | Caresource fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 13 | Healthpartners facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 14 | Kaiser fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Medicaid percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Medicare fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | Superior Healthplan fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 18 | WellCare percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
← Hospitals reporting HCPCS J0760 · Snapshot 20261113T090226Z-3ce6c0b8