Low
$12
Average
$53
Median
$46
High
$109
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 8 | $84 | $75 | $17 | 23% | — | $37 – $90 |
| 2 | Humana professional · percent of total billed charges · bothfrom % of charges | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Anthem facility · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
← Hospitals reporting HCPCS J2322 · Snapshot 20261113T090226Z-3ce6c0b8