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
$8
Average
$272
Median
$140
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 44.2× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 16 | $138 | $173 | $77 | 44% | — | $104 – $354 |
| 2 | First Health professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 6 | $17 | $17 | $2 | 14% | — | $14 – $22 |
| 3 | UnitedHealthcare case rate · outpatient · +8 other terms | 6 | $14 | $14 | — | — | — | $14 – $14 |
| 4 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +5 other terms | 5 | $14 | $14 | $2 | 11% | — | $13 – $17 |
| 5 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Cigna facility · fee schedule · outpatient · +9 other terms | 3 | $15 | $19 | $11 | 58% | — | $10 – $41 |
| 7 | Highmark facility · fee schedule · outpatient | 3 | $16 | $17 | $1 | 4% | — | $16 – $18 |
| 8 | Aetna fee schedule · outpatient · +10 other terms | 2 | $66 | $66 | — | — | — | $66 – $66 |
| 9 | Ambetter professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 10 | Anthem facility · fee schedule · outpatient · +4 other terms | 2 | $62 | $48 | $24 | 51% | — | $33 – $90 |
| 11 | Kaiser fee schedule · both · +3 other terms | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 12 | Phcs percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $658 | $658 | — | — | — | $658 – $658 |
| 13 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 14 | Bcbs Ca facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Bcbs Id professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Healthpartners facility · fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 17 | Humana fee schedule · outpatient · +5 other terms | 1 | $13 | $13 | $2 | 16% | — | $11 – $15 |
| 18 | Magellan per diem · inpatient · +2 other terms | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 19 | Medicare per diem · inpatient · +1 other terms | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 20 | Molina facility · fee schedule · outpatient · +1 other terms | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 21 | Tricare percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 22 | WellCare percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | Wellmark percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $111 | $111 | $47 | 42% | — | $71 – $207 |
← Hospitals reporting HCPCS J0886 · Snapshot 20261113T090226Z-3ce6c0b8