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
$2
Average
$38
Median
$26
High
$151
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 24.9× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 24 | $21 | $22 | $11 | 49% | — | $8 – $55 |
| 2 | First Health facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 13 | $2 | $3 | $1 | 42% | — | $2 – $5 |
| 3 | Medica facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 9 | $2 | $2 | $0 | 1% | — | $2 – $2 |
| 4 | Aetna fee schedule · outpatient · +11 other terms | 5 | $39 | $38 | $12 | 32% | — | $15 – $48 |
| 5 | Humana fee schedule · outpatient · +7 other terms | 4 | $30 | $17 | $16 | 90% | — | $4 – $43 |
| 6 | Cigna fee schedule · inpatient · +9 other terms | 3 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Highmark facility · fee schedule · outpatient · +1 other terms | 3 | $10 | $10 | $0 | 4% | — | $10 – $11 |
| 8 | MultiPlan fee schedule · inpatient · +8 other terms | 3 | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Phcs fee schedule · inpatient · +2 other terms | 3 | $49 | $49 | — | — | — | $49 – $49 |
| 10 | Sanford Health Plan fee schedule · outpatient · +3 other terms | 3 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | UnitedHealthcare other · both · +8 other terms | 3 | $9 | $9 | $3 | 32% | — | $6 – $12 |
| 12 | Ambetter percent of total billed charges · bothfrom % of charges | 2 | $26 | $26 | $7 | 27% | — | $19 – $34 |
| 13 | Kaiser fee schedule · both · +3 other terms | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 14 | Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 15 | Anthem fee schedule · outpatient · +5 other terms | 1 | $30 | $30 | $27 | 90% | — | $3 – $56 |
| 16 | Bcbs Ca fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | Bcbs Id professional · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 18 | Beechstreet percent of total billed charges · bothfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 19 | Devoted percent of total billed chargesfrom % of charges · +1 other terms | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 20 | Healthpartners facility · fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 21 | Molina facility · fee schedule · outpatient · +5 other terms | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 22 | Optum percent of total billed chargesfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 23 | Oscar facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 24 | Premera facility · percent of total billed charges · bothfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 25 | Regence facility · percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | $21 | 42% | — | $29 – $71 |
← Hospitals reporting HCPCS J2275 · Snapshot 20261113T090226Z-3ce6c0b8