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
$7
Average
$14
Median
$11
High
$40
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 3.1× 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 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 16 | $13 | $16 | $7 | 44% | — | $9 – $32 |
| 2 | Highmark facility · fee schedule · outpatient | 3 | $8 | $8 | $0 | 4% | — | $8 – $9 |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 2 | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Cigna facility · fee schedule · outpatient · +2 other terms | 2 | $14 | $14 | $10 | 70% | — | $4 – $23 |
| 5 | Kaiser fee schedule · both · +1 other terms | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 8 | Anthem fee schedule · outpatient · +1 other terms | 1 | $36 | $36 | $25 | 69% | — | $7 – $68 |
| 9 | Bcbs Id professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Healthpartners facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | Humana fee schedule · outpatient · +1 other terms | 1 | $7 | $7 | $1 | 16% | — | $5 – $8 |
| 12 | Molina facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Hospitals reporting HCPCS J3120 · Snapshot 20261113T090226Z-3ce6c0b8