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
J1628
Low
$60
Average
$8.4k
Median
$5.9k
High
$49.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
60 payers; the 90th percentile is 166.6× 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 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 607 | $120 | $1.4k | $6.6k | 474% | 20 | $1 – $71.0k |
| 2 | Wellmark fee schedule · outpatient · +8 other terms | 20 | $70 | $84 | $27 | 33% | 2–20 | $70 – $139 |
| 3 | Anthem fee schedule · outpatient · +22 other terms | 125 | $102 | $2.1k | $11.9k | 575% | 1–10 | $67 – $76.3k |
| 4 | Aetna fee schedule · outpatient · +25 other terms | 393 | $86 | $1.6k | $7.4k | 477% | — | $1 – $76.2k |
| 5 | Cigna fee schedule · outpatient · +21 other terms | 344 | $115 | $1.5k | $6.2k | 402% | — | $60 – $55.4k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 336 | $135 | $2.0k | $9.6k | 490% | — | $1 – $76.3k |
| 7 | Humana fee schedule · outpatient · +19 other terms | 330 | $74 | $1.2k | $6.2k | 535% | — | $1 – $64.9k |
| 8 | Molina fee schedule · outpatient · +21 other terms | 138 | $101 | $1.1k | $3.8k | 339% | — | $1 – $29.9k |
| 9 | WellCare fee schedule · outpatient · +15 other terms | 130 | $75 | $254 | $1.2k | 481% | — | $67 – $13.8k |
| 10 | Caresource fee schedule · outpatient · +14 other terms | 77 | $85 | $251 | $1.9k | 765% | — | $1 – $30.1k |
| 11 | Kaiser fee schedule · outpatient · +15 other terms | 72 | $116 | $3.2k | $11.1k | 346% | — | $54 – $61.2k |
| 12 | Devoted fee schedule · outpatient · +10 other terms | 68 | $76 | $671 | $3.5k | 518% | — | $69 – $28.0k |
| 13 | Ambetter facility · fee schedule · outpatient · +12 other terms | 52 | $127 | $601 | $3.6k | 600% | — | $74 – $28.8k |
| 14 | MultiPlan fee schedule · outpatient · +11 other terms | 43 | $6.8k | $25.3k | $28.4k | 112% | — | $75 – $77.9k |
| 15 | Optum fee schedule · outpatient · +18 other terms | 41 | $75 | $1.5k | $5.0k | 331% | — | $67 – $25.6k |
| 16 | Medica fee schedule · outpatient · +17 other terms | 33 | $1.6k | $13.3k | $23.2k | 174% | — | $79 – $67.5k |
| 17 | Oscar facility · fee schedule · outpatient · +13 other terms | 33 | $97 | $100 | $21 | 21% | — | $73 – $141 |
| 18 | Bcbs Tx fee schedule · outpatient · +3 other terms | 31 | $408 | $380 | $179 | 47% | — | $69 – $740 |
| 19 | Clover fee schedule · outpatient · +5 other terms | 29 | $81 | $265 | $472 | 178% | — | $72 – $1.5k |
| 20 | Medicare fee schedule · outpatient · +9 other terms | 29 | $74 | $96 | $184 | 193% | — | $67 – $1.5k |
| 21 | Highmark facility · fee schedule · outpatient · +10 other terms | 27 | $84 | $159 | $114 | 72% | — | $64 – $551 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +8 other terms | 21 | $139 | $150 | $75 | 50% | — | $37 – $319 |
| 23 | Regence facility · fee schedule · outpatient · +11 other terms | 21 | $76 | $89 | $36 | 40% | — | $65 – $206 |
| 24 | Aetna Better Health fee schedule · outpatient · +13 other terms | 19 | $76 | $110 | $30 | 28% | — | $76 – $137 |
| 25 | Healthpartners fee schedule · outpatient · +7 other terms | 19 | $88 | $87 | $4 | 4% | — | $69 – $90 |
← Hospitals reporting HCPCS J1628 · Snapshot 20261111T120946Z-9134e7f7