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
$0
Average
$5
Median
$1
High
$47
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 48.4× 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 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 34 | $2 | $9 | $16 | 185% | — | $0 – $70 |
| 2 | UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 16 | $1 | $2 | $4 | 194% | — | $0 – $20 |
| 3 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 14 | $3 | $5 | $7 | 151% | — | $0 – $30 |
| 4 | WellCare facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 8 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 5 | First Health facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 4 | $1 | $1 | $1 | 91% | — | $0 – $2 |
| 6 | Aetna facility · fee schedule · outpatient · +10 other terms | 3 | $1 | $0 | $0 | 56% | — | $0 – $1 |
| 7 | Cigna facility · fee schedule · outpatient · +8 other terms | 3 | $0 | $0 | $0 | 143% | — | $0 – $1 |
| 8 | Highmark facility · fee schedule · outpatient · +1 other terms | 3 | $0 | $0 | $0 | 5% | — | $0 – $0 |
| 9 | Anthem fee schedule · outpatient · +6 other terms | 2 | $39 | $39 | $33 | 84% | — | $6 – $72 |
| 10 | Humana fee schedule · outpatient · +4 other terms | 2 | $3 | $1 | $2 | 193% | — | $0 – $6 |
| 11 | Kaiser fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Molina fee schedule · outpatient · +3 other terms | 2 | $3 | $2 | $3 | 136% | — | $0 – $6 |
| 13 | Oscar percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $0 | $0 | $0 | 37% | — | $0 – $1 |
| 14 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Tricare facility · fee schedule · outpatient · +1 other terms | 2 | $1 | $1 | $0 | 33% | — | $1 – $1 |
| 16 | Ambetter percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | $0 | 5% | — | $0 – $0 |
| 17 | Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $0 | 1% | — | $10 – $11 |
| 18 | Bcbs Ca fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Bcbs Id professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs Wy percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | $0 | 1% | — | $6 – $6 |
| 21 | Caresource fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | Healthpartners facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Medical Mutual percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $1 | 48% | — | $1 – $2 |
← Hospitals reporting HCPCS J7506 · Snapshot 20261113T090226Z-3ce6c0b8