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
$1
Average
$49
Median
$32
High
$126
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 33.6× 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 | $3 | $3 | $1 | 48% | — | $1 – $5 |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 3 | $4 | $43 | $31 | 74% | — | $4 – $68 |
| 3 | Caresource fee schedule · outpatient | 2 | $71 | $89 | $55 | 61% | — | $17 – $149 |
| 4 | Cigna fee schedule · both · +4 other terms | 2 | $1 | $1 | $0 | 15% | — | $1 – $1 |
| 5 | Humana fee schedule · outpatient · +2 other terms | 2 | $30 | $13 | $23 | 182% | — | $1 – $59 |
| 6 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $71 | $42 | 59% | — | $23 – $131 |
| 8 | Anthem fee schedule · outpatient · +1 other terms | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | $37 | 30% | — | $85 – $158 |
| 10 | Healthpartners facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Medicaid percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | $7 | 18% | — | $33 – $48 |
| 12 | Medicare fee schedule · outpatient | 1 | $126 | $126 | $23 | 18% | — | $103 – $149 |
| 13 | MultiPlan fee schedule · inpatient · +2 other terms | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 14 | WellCare fee schedule · outpatient · +1 other terms | 1 | $17 | $17 | — | — | — | $17 – $17 |
← Hospitals reporting HCPCS J1590 · Snapshot 20261111T120946Z-9134e7f7