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.
Generation details were not recorded for this description.
Original text from hospital filings
Fee Schedule
Low
$92
Average
$497
Median
$281
High
$1.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 8.2× 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 · +2 other terms | 24 | $685 | $659 | $284 | 43% | — | $289 – $1.0k |
| 2 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 9 | $39 | $39 | $6 | 15% | — | $33 – $45 |
| 3 | Highmark facility · fee schedule · outpatient | 3 | $181 | $184 | $7 | 4% | — | $181 – $201 |
| 4 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $246 | $246 | — | — | — | $246 – $246 |
| 5 | Aetna professional · fee schedule · both · +2 other terms | 2 | $225 | $225 | — | — | — | $225 – $225 |
| 6 | Cigna fee schedule · both · +5 other terms | 2 | $304 | $299 | $24 | 8% | — | $265 – $318 |
| 7 | Anthem fee schedule · outpatient · +4 other terms | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Healthpartners facility · fee schedule · outpatient | 1 | $767 | $767 | — | — | — | $767 – $767 |
| 10 | Humana other · both · +2 other terms | 1 | $1.8k | $1.8k | $251 | 14% | — | $1.5k – $2.0k |
| 11 | Molina facility · fee schedule · outpatient | 1 | $452 | $452 | — | — | — | $452 – $452 |
| 12 | Tricare percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | UnitedHealthcare other · both · +2 other terms | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | WellCare other · both · +1 other terms | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Hospitals reporting HCPCS J3488 · Snapshot 20261113T090226Z-3ce6c0b8