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
Seat ht <17 or >=21 ltwt wc
Low
$3
Average
$111
Median
$105
High
$393
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 2.6× 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 | 267 | $115 | $101 | $43 | 42% | — | $9 – $468 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $117 | $123 | $89 | 73% | — | $5 – $867 |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $117 | $88 | $45 | 50% | — | $6 – $160 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 185 | $120 | $121 | $19 | 15% | — | $106 – $211 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 181 | $121 | $138 | $60 | 44% | — | $0 – $435 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $117 | $110 | $24 | 22% | — | $11 – $148 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $122 | $116 | $7 | 6% | — | $111 – $141 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $146 | $131 | $72 | 55% | — | $10 – $343 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $120 | $105 | $67 | 63% | — | $11 – $339 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $117 | $117 | $4 | 3% | — | $117 – $137 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $119 | $86 | $45 | 53% | — | $11 – $135 |
| 12 | Clover fee schedule · outpatient | 34 | $117 | $115 | $10 | 8% | — | $106 – $137 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $121 | $125 | $37 | 30% | — | $94 – $464 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $117 | $93 | $58 | 63% | — | $11 – $278 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $120 | $84 | $46 | 55% | — | $11 – $133 |
| 16 | Oscar fee schedule · outpatient | 24 | $109 | $115 | $7 | 6% | — | $109 – $123 |
| 17 | Medicare fee schedule · outpatient | 18 | $75 | $75 | $47 | 62% | — | $11 – $133 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $140 | $141 | $5 | 4% | — | $133 – $157 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $117 | $117 | — | — | — | $117 – $117 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $63 | $62 | $51 | 82% | — | $8 – $114 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $113 | $115 | $30 | 26% | — | $57 – $137 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $106 | $228 | $155 | 68% | — | $106 – $468 |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $38 | $65 | $84 | 130% | — | $38 – $332 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $75 | $78 | $64 | 83% | — | $5 – $319 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $225 | $215 | $73 | 34% | — | $17 – $290 |
← Hospitals reporting HCPCS K0056 · Snapshot 20261112T181611Z-3fa9fb76