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
$211
Average
$1.2k
Median
$1.0k
High
$5.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 6.6× 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 · +2 other terms | 24 | $978 | $1.0k | $553 | 54% | — | $367 – $1.8k |
| 2 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms | 10 | $4.0k | $3.7k | $908 | 25% | — | $1.0k – $4.2k |
| 3 | First Health percent of total billed charges · outpatientfrom % of charges · +1 other terms | 8 | $599 | $599 | — | — | — | $599 – $599 |
| 4 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $211 | $211 | — | — | — | $211 – $211 |
| 5 | Highmark facility · fee schedule · outpatient | 3 | $503 | $463 | $87 | 19% | — | $316 – $559 |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $501 | $501 | — | — | — | $501 – $501 |
| 7 | Aetna professional · fee schedule · both · +5 other terms | 2 | $436 | $436 | — | — | — | $436 – $436 |
| 8 | Ambetter professional · percent of total billed charges · bothfrom % of charges | 2 | $361 | $361 | — | — | — | $361 – $361 |
| 9 | Cigna fee schedule · both · +6 other terms | 2 | $620 | $611 | $50 | 8% | — | $540 – $649 |
| 10 | Optum percent of total billed charges · outpatientfrom % of charges | 2 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 11 | Phcs professional · percent of total billed charges · bothfrom % of charges | 2 | $361 | $361 | — | — | — | $361 – $361 |
| 12 | Anthem fee schedule · outpatient · +2 other terms | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Healthpartners facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Humana other · both · +2 other terms | 1 | $666 | $666 | $94 | 14% | — | $573 – $760 |
| 15 | Kaiser fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Molina facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Tricare facility · fee schedule · outpatient · +1 other terms | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | UnitedHealthcare other · both · +4 other terms | 1 | $573 | $573 | — | — | — | $573 – $573 |
| 19 | WellCare other · both | 1 | $573 | $573 | — | — | — | $573 – $573 |
← Hospitals reporting HCPCS J1441 · Snapshot 20261113T090226Z-3ce6c0b8