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
Ltwt portbl power whlchr
Low
$9
Average
$1.5k
Median
$873
High
$8.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 8.3× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +5 other terms | 247 | $458 | $730 | $804 | 110% | — | $313 – $3.6k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 236 | $455 | $1.0k | $3.0k | 296% | — | $156 – $35.0k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 232 | $454 | $791 | $813 | 103% | — | $193 – $4.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 177 | $463 | $1.0k | $2.1k | 202% | — | $0 – $16.2k |
| 5 | WellCare fee schedule · outpatient · +1 other terms | 169 | $472 | $485 | $73 | 15% | — | $424 – $848 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 151 | $463 | $457 | $15 | 3% | — | $413 – $490 |
| 7 | Cigna Healthspring fee schedule · outpatient | 104 | $463 | $462 | $8 | 2% | — | $424 – $500 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 89 | $682 | $639 | $251 | 39% | — | $386 – $1.2k |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 69 | $472 | $776 | $1.8k | 226% | — | $413 – $13.6k |
| 10 | Superior Healthplan fee schedule · outpatient | 39 | $486 | $486 | — | — | — | $486 – $486 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 34 | $459 | $463 | $44 | 10% | — | $441 – $718 |
| 12 | Clover fee schedule · outpatient | 32 | $445 | $452 | $25 | 6% | — | $426 – $486 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $427 | $436 | $128 | 29% | — | $321 – $1.6k |
| 14 | Kaiser fee schedule · outpatient · +3 other terms | 24 | $472 | $461 | $13 | 3% | — | $445 – $472 |
| 15 | Optum fee schedule · outpatient · +1 other terms | 24 | $445 | $529 | $232 | 44% | — | $434 – $1.2k |
| 16 | Oscar fee schedule · outpatient | 24 | $454 | $450 | $4 | 1% | — | $445 – $454 |
| 17 | Amerihealth Caritas fee schedule · outpatient | 16 | $509 | $512 | $8 | 1% | — | $509 – $528 |
| 18 | Caresource fee schedule · outpatient · +3 other terms | 15 | $424 | $424 | — | — | — | $424 – $424 |
| 19 | Medicare fee schedule · outpatient | 15 | $445 | $445 | $2 | 0% | — | $445 – $454 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $2.2k | $2.2k | $1.8k | 82% | — | $333 – $4.3k |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $4.3k | $4.3k | $1.1k | 26% | — | $2.2k – $5.2k |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $426 | $919 | $624 | 68% | — | $426 – $1.9k |
| 23 | Highmark fee schedule · outpatient · +3 other terms | 10 | $1.1k | $1.1k | $1.3k | 117% | — | $204 – $3.6k |
| 24 | Medica fee schedule · outpatient · +4 other terms | 10 | $6.0k | $5.7k | $1.9k | 34% | — | $728 – $7.8k |
| 25 | Medical Mutual fee schedule · outpatient | 9 | $796 | $796 | — | — | — | $796 – $796 |
← Hospitals reporting HCPCS K0012 · Snapshot 20261113T090226Z-3ce6c0b8