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
$51
Average
$247
Median
$158
High
$759
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
31 payers; the 90th percentile is 9.4× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +7 other terms | 45 | $1.1k | $1.0k | $538 | 52% | — | $38 – $1.5k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 41 | $142 | $144 | $37 | 26% | — | $62 – $245 |
| 3 | Molina facility · case rate · outpatient · +5 other terms | 27 | $121 | $113 | $40 | 35% | — | $65 – $218 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +8 other terms | 18 | $129 | $130 | $40 | 30% | — | $65 – $222 |
| 5 | Anthem facility · case rate · outpatient · +8 other terms | 15 | $128 | $140 | $33 | 23% | — | $87 – $218 |
| 6 | Caresource facility · case rate · outpatient | 15 | $131 | $141 | $32 | 23% | — | $87 – $222 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 13 | $116 | $122 | $37 | 31% | — | $62 – $197 |
| 8 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 7 | $78 | $78 | $1 | 1% | — | $75 – $79 |
| 9 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $72 | $73 | $2 | 3% | — | $72 – $78 |
| 10 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $185 | $187 | $62 | 33% | — | $96 – $231 |
| 11 | Cigna fee schedule · both · +7 other terms | 7 | $166 | $159 | $20 | 13% | — | $113 – $186 |
| 12 | Aetna fee schedule · outpatient · +11 other terms | 6 | $145 | $273 | $183 | 67% | — | $144 – $532 |
| 13 | Regence percent of total billed charges · inpatientfrom % of charges · +1 other terms | 5 | $255 | $258 | $45 | 17% | — | $193 – $311 |
| 14 | Bcbs Ks percent of total billed charges · outpatientfrom % of charges · +2 other terms | 3 | $441 | $441 | — | — | — | $441 – $441 |
| 15 | Bcbs Tx facility · fee schedule · outpatient | 3 | $51 | $51 | $1 | 2% | — | $50 – $52 |
| 16 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $158 | $158 | — | — | — | $158 – $158 |
| 17 | Wellmark facility · case rate · outpatient | 3 | $258 | $226 | $71 | 32% | — | $105 – $284 |
| 18 | Bcbs Il facility · case rate · inpatient | 2 | $700 | $700 | — | — | — | $700 – $700 |
| 19 | Kaiser fee schedule · both · +2 other terms | 2 | $76 | $76 | — | — | — | $76 – $76 |
| 20 | Medica facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $721 | $721 | — | — | — | $721 – $721 |
| 21 | Medicaid facility · case rate · outpatient | 2 | $65 | $65 | — | — | — | $65 – $65 |
| 22 | Medicare percent of total billed charges · outpatientfrom % of charges | 2 | $122 | $122 | $44 | 36% | — | $78 – $166 |
| 23 | Bcbs Ca fee schedule · outpatient · +1 other terms | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 24 | Bcbs Id professional · fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 25 | Devoted percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
← Hospitals reporting HCPCS J7303 · Snapshot 20261112T181611Z-3fa9fb76