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
$146
Average
$442
Median
$264
High
$1.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 3.8× 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 · +2 other terms | 24 | $642 | $642 | $296 | 46% | — | $264 – $1.1k |
| 2 | UnitedHealthcare professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 7 | $83 | $117 | $64 | 54% | — | $83 – $259 |
| 3 | First Health professional · percent of total billed charges · bothfrom % of charges | 6 | $292 | $292 | $42 | 14% | — | $250 – $375 |
| 4 | Humana professional · percent of total billed charges · bothfrom % of charges | 6 | $288 | $264 | $69 | 26% | — | $176 – $334 |
| 5 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +2 other terms | 5 | $250 | $245 | $30 | 12% | — | $211 – $300 |
| 6 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $146 | $146 | — | — | — | $146 – $146 |
| 7 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $242 | $242 | — | — | — | $242 – $242 |
| 8 | Aetna professional · fee schedule · both · +4 other terms | 2 | $223 | $223 | — | — | — | $223 – $223 |
| 9 | Ambetter professional · percent of total billed charges · bothfrom % of charges | 2 | $250 | $250 | — | — | — | $250 – $250 |
| 10 | Cigna fee schedule · both · +5 other terms | 2 | $299 | $294 | $24 | 8% | — | $260 – $313 |
| 11 | Phcs professional · percent of total billed charges · bothfrom % of charges | 2 | $250 | $250 | — | — | — | $250 – $250 |
| 12 | Anthem fee schedule · outpatient · +2 other terms | 1 | $934 | $934 | — | — | — | $934 – $934 |
| 13 | Healthpartners facility · fee schedule · outpatient | 1 | $755 | $755 | — | — | — | $755 – $755 |
| 14 | Kaiser fee schedule · outpatient | 1 | $508 | $508 | — | — | — | $508 – $508 |
← Hospitals reporting HCPCS J3487 · Snapshot 20261113T090226Z-3ce6c0b8