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
$0
Average
$35
Median
$18
High
$225
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 6.4× 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 · +4 other terms | 24 | $36 | $57 | $42 | 74% | — | $13 – $119 |
| 2 | First Health professional · percent of total billed charges · bothfrom % of charges · +4 other terms | 6 | $18 | $18 | $3 | 14% | — | $15 – $23 |
| 3 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +4 other terms | 6 | $15 | $15 | $4 | 27% | — | $10 – $22 |
| 4 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Highmark facility · fee schedule · outpatient · +1 other terms | 3 | $10 | $10 | $0 | 4% | — | $10 – $11 |
| 6 | Aetna fee schedule · outpatient · +10 other terms | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 7 | Ambetter professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 8 | Cigna facility · fee schedule · outpatient · +7 other terms | 2 | $11 | $11 | $6 | 51% | — | $5 – $16 |
| 9 | Kaiser fee schedule · both | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 10 | Phcs professional · percent of total billed charges · bothfrom % of charges | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Sanford Health Plan facility · fee schedule · outpatient · +2 other terms | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | $0 | 60% | — | $0 – $0 |
| 13 | Aetna Better Health fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Amerihealth Caritas fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Anthem fee schedule · outpatient · +4 other terms | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 16 | Bcbs Id professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 17 | Bcbs Nj facility · other · outpatient · +2 other terms | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 18 | Clover facility · other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 19 | Healthpartners facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 20 | Humana fee schedule · both · +6 other terms | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Molina facility · fee schedule · outpatient · +1 other terms | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 22 | Optum percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Oscar facility · other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 24 | Premera facility · percent of total billed charges · bothfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 25 | Regence facility · percent of total billed charges · bothfrom % of charges | 1 | $148 | $148 | $63 | 42% | — | $85 – $211 |
← Hospitals reporting HCPCS J1080 · Snapshot 20261113T090226Z-3ce6c0b8