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
$162
Median
$71
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 8.6× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +12 other terms | 43 | $40 | $43 | $21 | 48% | — | $0 – $127 |
| 2 | Humana fee schedule · outpatient · +9 other terms | 41 | $215 | $208 | $94 | 45% | — | $17 – $293 |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +13 other terms | 23 | $90 | $89 | $2 | 3% | — | $76 – $90 |
| 4 | Anthem facility · case rate · outpatient · +9 other terms | 15 | $47 | $52 | $12 | 23% | — | $32 – $80 |
| 5 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $48 | $52 | $12 | 23% | — | $32 – $82 |
| 6 | Molina facility · case rate · outpatient · +7 other terms | 15 | $47 | $52 | $12 | 23% | — | $33 – $80 |
| 7 | Aetna fee schedule · outpatient · +12 other terms | 13 | $46 | $43 | $27 | 62% | — | $0 – $92 |
| 8 | Cigna fee schedule · outpatient · +11 other terms | 12 | $32 | $40 | $47 | 118% | — | $0 – $218 |
| 9 | First Health facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 12 | $77 | $76 | $53 | 69% | — | $1 – $235 |
| 10 | Optum facility · case rate · outpatient · +2 other terms | 11 | $45 | $49 | $11 | 22% | — | $40 – $73 |
| 11 | Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 8 | $35 | $36 | $7 | 18% | — | $30 – $69 |
| 12 | Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges | 8 | $56 | $59 | $34 | 57% | — | $21 – $165 |
| 13 | Bcbs Mn fee schedule · outpatient · +3 other terms | 7 | $34 | $34 | $11 | 33% | — | $18 – $42 |
| 14 | Oscar facility · percent of total billed charges · outpatientfrom % of charges | 7 | $40 | $40 | $3 | 8% | — | $36 – $43 |
| 15 | Aetna Better Health percent of total billed charges · outpatientfrom % of charges · +1 other terms | 6 | $14 | $14 | $9 | 64% | — | $2 – $23 |
| 16 | Highmark facility · fee schedule · outpatient · +1 other terms | 5 | $35 | $14 | $13 | 90% | — | $2 – $38 |
| 17 | Bcbs Ks percent of total billed charges · outpatientfrom % of charges | 3 | $286 | $286 | — | — | — | $286 – $286 |
| 18 | Bcbs Tx facility · fee schedule · outpatient | 3 | $29 | $29 | $1 | 2% | — | $28 – $29 |
| 19 | Ucare facility · percent of total billed charges · outpatientfrom % of charges | 3 | $18 | $18 | $3 | 15% | — | $15 – $21 |
| 20 | Amerihealth Caritas professional · fee schedule · outpatient · +2 other terms | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 2 | $41 | $48 | $14 | 29% | — | $30 – $71 |
| 22 | Kaiser fee schedule · both · +2 other terms | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | Medica other · outpatient · +3 other terms | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | Medicare percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $79 | $29 | 36% | — | $50 – $108 |
| 25 | Phcs percent of total billed charges · outpatientfrom % of charges · +4 other terms | 2 | $41 | $20 | $35 | 173% | — | $0 – $82 |
← Hospitals reporting HCPCS J2400 · Snapshot 20261112T181611Z-3fa9fb76