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
J1921
Low
$1
Average
$161
Median
$20
High
$2.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 195.7× 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 | Wellmark fee schedule · outpatient · +8 other terms | 25 | $1 | $1 | $0 | 1% | 54–144 | $1 – $1 |
| 2 | Kaiser fee schedule · both · +12 other terms | 42 | $2 | $138 | $1.3k | 961% | 3–30 | $1 – $13.0k |
| 3 | Aetna fee schedule · outpatient · +19 other terms | 182 | $3 | $25 | $129 | 517% | 1–10 | $1 – $1.2k |
| 4 | Medica fee schedule · outpatient · +11 other terms | 49 | $12 | $10 | $17 | 166% | 1–10 | $0 – $97 |
| 5 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 387 | $2 | $8 | $53 | 683% | — | $1 – $1.1k |
| 6 | Cigna fee schedule · outpatient · +14 other terms | 301 | $3 | $14 | $69 | 483% | — | $1 – $852 |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 192 | $3 | $5 | $10 | 180% | — | $0 – $95 |
| 8 | Humana fee schedule · outpatient · +15 other terms | 115 | $1 | $14 | $24 | 168% | — | $1 – $256 |
| 9 | Anthem fee schedule · outpatient · +16 other terms | 72 | $2 | $3 | $2 | 66% | — | $1 – $14 |
| 10 | MultiPlan fee schedule · outpatient · +10 other terms | 43 | $41 | $141 | $301 | 213% | — | $0 – $1.2k |
| 11 | Caresource fee schedule · outpatient · +9 other terms | 41 | $2 | $2 | $2 | 82% | — | $1 – $12 |
| 12 | Molina fee schedule · outpatient · +13 other terms | 26 | $3 | $31 | $88 | 286% | — | $1 – $460 |
| 13 | Bcbs Tx fee schedule · outpatient · +1 other terms | 24 | $6 | $6 | $1 | 22% | — | $2 – $9 |
| 14 | Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms | 21 | $27 | $41 | $45 | 110% | — | $9 – $189 |
| 15 | Oscar facility · fee schedule · outpatient · +8 other terms | 20 | $2 | $2 | $0 | 22% | — | $1 – $3 |
| 16 | Healthpartners fee schedule · outpatient · +5 other terms | 18 | $2 | $2 | $0 | 2% | — | $2 – $2 |
| 17 | Phcs fee schedule · inpatient · +8 other terms | 16 | $71 | $48 | $19 | 40% | — | $38 – $98 |
| 18 | Tricare fee schedule · both · +5 other terms | 16 | $52 | $26 | $25 | 99% | — | $1 – $54 |
| 19 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms | 14 | $6 | $9 | $9 | 93% | — | $2 – $47 |
| 20 | Devoted facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 13 | $8 | $11 | $12 | 106% | — | $0 – $43 |
| 21 | WellCare facility · fee schedule · outpatient · +11 other terms | 13 | $3 | $2 | $1 | 47% | — | $1 – $3 |
| 22 | Highmark fee schedule · outpatient · +7 other terms | 12 | $2 | $2 | $0 | 6% | — | $1 – $2 |
| 23 | Aetna Better Health fee schedule · outpatient · +7 other terms | 11 | $2 | $3 | $0 | 13% | — | $2 – $3 |
| 24 | Bcbs Nj fee schedule · outpatient | 11 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 25 | Optum facility · case rate · outpatient · +9 other terms | 11 | $8 | $9 | $2 | 23% | — | $7 – $13 |
← Hospitals reporting HCPCS J1921 · Snapshot 20261111T120946Z-9134e7f7