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
$78
Average
$230
Median
$181
High
$631
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 6.3× 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 · +1 other terms | 40 | $130 | $213 | $187 | 88% | — | $78 – $681 |
| 2 | Molina facility · case rate · outpatient · +2 other terms | 11 | $98 | $158 | $157 | 99% | — | $98 – $650 |
| 3 | Anthem facility · fee schedule · outpatient · +3 other terms | 8 | $282 | $190 | $95 | 50% | — | $58 – $553 |
| 4 | Humana facility · case rate · outpatient · +3 other terms | 8 | $83 | $86 | $4 | 5% | — | $83 – $91 |
| 5 | Aetna Better Health facility · case rate · outpatient | 7 | $99 | $98 | $3 | 3% | — | $87 – $99 |
| 6 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $91 | $92 | $3 | 3% | — | $91 – $99 |
| 7 | Cigna fee schedule · both · +3 other terms | 5 | $78 | $81 | $6 | 8% | — | $78 – $95 |
| 8 | UnitedHealthcare fee schedule · inpatient · +4 other terms | 5 | $84 | $84 | — | — | — | $84 – $84 |
| 9 | Aetna fee schedule · outpatient · +7 other terms | 4 | $161 | $161 | $6 | 4% | — | $155 – $167 |
| 10 | Wellmark facility · case rate · outpatient | 3 | $285 | $250 | $79 | 32% | — | $116 – $315 |
| 11 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $419 | $419 | $418 | 100% | — | $1 – $837 |
| 12 | Highmark facility · fee schedule · outpatient · +1 other terms | 2 | $503 | $503 | $214 | 42% | — | $243 – $952 |
| 13 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $551 | $551 | $549 | 100% | — | $2 – $1.1k |
| 14 | Optum facility · fee schedule · outpatient | 2 | $81 | $81 | — | — | — | $81 – $81 |
| 15 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $78 | $78 | — | — | — | $78 – $78 |
| 16 | Bcbs Ca fee schedule · outpatient · +1 other terms | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 17 | Bcbs Id professional · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 18 | Caresource facility · case rate · outpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 19 | Healthpartners facility · fee schedule · outpatient | 1 | $232 | $232 | — | — | — | $232 – $232 |
← Hospitals reporting HCPCS J9199 · Snapshot 20261113T090226Z-3ce6c0b8