Low
$14
Average
$58
Median
$51
High
$118
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 8 | $93 | $83 | $19 | 23% | — | $41 – $99 |
| 2 | Humana professional · percent of total billed charges · bothfrom % of charges | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 3 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Anthem facility · fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
← Hospitals reporting HCPCS J1565 · Snapshot 20261113T090226Z-3ce6c0b8