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
$0
Average
$709
Median
$122
High
$10.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
20 payers; the 90th percentile is 41.0× 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 · +4 other terms | 17 | $302 | $373 | $164 | 44% | — | $225 – $769 |
| 2 | First Health percent of total billed charges · outpatientfrom % of charges · +1 other terms | 15 | $82 | $215 | $527 | 245% | — | $13 – $2.4k |
| 3 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 7 | $9 | $106 | $188 | 177% | — | $5 – $583 |
| 4 | Aetna fee schedule · outpatient · +11 other terms | 5 | $50 | $44 | $17 | 38% | — | $20 – $68 |
| 5 | Caresource professional · percent of total billed charges · bothfrom % of charges | 4 | $86 | $86 | — | — | — | $86 – $86 |
| 6 | Humana fee schedule · outpatient · +5 other terms | 4 | $39 | $36 | $15 | 41% | — | $13 – $55 |
| 7 | Cigna fee schedule · inpatient · +11 other terms | 3 | $11 | $11 | $0 | 0% | — | $11 – $11 |
| 8 | MultiPlan fee schedule · inpatient · +6 other terms | 3 | $55 | $55 | $0 | 0% | — | $55 – $55 |
| 9 | Optum percent of total billed charges · outpatientfrom % of charges | 3 | $687 | $809 | $703 | 87% | — | $108 – $1.7k |
| 10 | Phcs fee schedule · inpatient · +2 other terms | 3 | $63 | $63 | $0 | 0% | — | $63 – $63 |
| 11 | Ambetter professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 2 | $147 | $147 | — | — | — | $147 – $147 |
| 12 | Kaiser fee schedule · both · +1 other terms | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 13 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 2 | $20 | $20 | $5 | 27% | — | $14 – $28 |
| 15 | Anthem fee schedule · outpatient · +2 other terms | 1 | $398 | $398 | $396 | 99% | — | $2 – $795 |
| 16 | Bcbs Ca fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Bcbs Id professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 18 | Bcbs Wy percent of total billed charges · outpatientfrom % of charges | 1 | $10.4k | $10.4k | $141 | 1% | — | $10.3k – $10.5k |
| 19 | Healthpartners facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 20 | Oscar facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $70 | $70 | $61 | 86% | — | $8 – $152 |
← Hospitals reporting HCPCS J9265 · Snapshot 20261112T181611Z-3fa9fb76