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
$141
Average
$399
Median
$368
High
$848
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 payers; the 90th percentile is 4.1× 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 | Humana fee schedule · outpatient · +10 other terms | 43 | $1.0k | $951 | $447 | 47% | — | $138 – $1.4k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 32 | $534 | $470 | $173 | 37% | — | $200 – $714 |
| 3 | Aetna fee schedule · outpatient · +15 other terms | 21 | $346 | $570 | $298 | 52% | — | $224 – $1.0k |
| 4 | Anthem facility · fee schedule · outpatient · +3 other terms | 11 | $234 | $351 | $164 | 47% | — | $16 – $1.0k |
| 5 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 9 | $339 | $482 | $295 | 61% | — | $235 – $1.2k |
| 6 | Molina fee schedule · outpatient · +7 other terms | 8 | $284 | $296 | $63 | 21% | — | $183 – $405 |
| 7 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $172 | $174 | $58 | 33% | — | $90 – $216 |
| 8 | MultiPlan fee schedule · inpatient · +7 other terms | 7 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | WellCare fee schedule · outpatient · +2 other terms | 6 | $302 | $308 | $51 | 17% | — | $215 – $358 |
| 10 | Cigna fee schedule · outpatient · +11 other terms | 5 | $819 | $796 | $218 | 27% | — | $206 – $973 |
| 11 | Bcbs Nj facility · fee schedule · outpatient · +2 other terms | 3 | $156 | $156 | — | — | — | $156 – $156 |
| 12 | Clover facility · other · outpatient | 3 | $250 | $250 | — | — | — | $250 – $250 |
| 13 | Highmark facility · other · outpatient | 3 | $156 | $156 | $94 | 60% | — | $63 – $250 |
| 14 | Oscar facility · other · outpatient · +2 other terms | 3 | $250 | $250 | — | — | — | $250 – $250 |
| 15 | Sanford Health Plan fee schedule · outpatient · +3 other terms | 3 | $155 | $155 | — | — | — | $155 – $155 |
| 16 | Tricare facility · fee schedule · outpatient · +1 other terms | 3 | $250 | $250 | — | — | — | $250 – $250 |
| 17 | Wellmark facility · case rate · outpatient · +2 other terms | 3 | $106 | $93 | $29 | 32% | — | $43 – $117 |
| 18 | Kaiser fee schedule · both · +3 other terms | 2 | $192 | $192 | — | — | — | $192 – $192 |
| 19 | Magellan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 2 | $322 | $322 | $72 | 22% | — | $250 – $393 |
| 20 | Medica fee schedule · outpatient · +3 other terms | 2 | $533 | $533 | $272 | 51% | — | $260 – $805 |
| 21 | Optum facility · other · outpatient · +3 other terms | 2 | $198 | $172 | $80 | 46% | — | $39 – $250 |
| 22 | Phcs professional · percent of total billed charges · bothfrom % of charges | 2 | $185 | $185 | — | — | — | $185 – $185 |
| 23 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 2 | $467 | $467 | $273 | 59% | — | $230 – $783 |
| 24 | Aetna Better Health facility · case rate · outpatient · +4 other terms | 1 | $30 | $30 | $3 | 9% | — | $27 – $32 |
| 25 | Ambetter fee schedule · both · +1 other terms | 1 | $715 | $715 | $21 | 3% | — | $694 – $736 |
← Hospitals reporting HCPCS J9031 · Snapshot 20261112T181611Z-3fa9fb76