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
Drive belt for pwc, repl
Low
$1
Average
$29
Median
$27
High
$64
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 3.2× 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 | $29 | $25 | $11 | 43% | — | $2 – $116 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $29 | $32 | $23 | 74% | — | $1 – $210 |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $29 | $22 | $12 | 52% | — | $1 – $40 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 185 | $30 | $31 | $5 | 16% | — | $28 – $55 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 179 | $30 | $34 | $14 | 40% | — | $0 – $107 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $29 | $28 | $6 | 22% | — | $3 – $37 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $30 | $30 | $1 | 4% | — | $29 – $35 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $36 | $33 | $18 | 56% | — | $2 – $85 |
| 9 | Cigna fee schedule · outpatient · +4 other terms | 77 | $30 | $27 | $18 | 65% | — | $3 – $88 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $31 | $31 | $1 | 2% | — | $31 – $34 |
| 11 | Anthem fee schedule · outpatient · +6 other terms | 38 | $29 | $21 | $11 | 53% | — | $3 – $34 |
| 12 | Clover fee schedule · outpatient | 34 | $30 | $30 | $2 | 7% | — | $28 – $34 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $31 | $32 | $9 | 30% | — | $24 – $117 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $29 | $23 | $15 | 65% | — | $3 – $73 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $29 | $20 | $11 | 56% | — | $3 – $34 |
| 16 | Oscar fee schedule · outpatient | 24 | $28 | $29 | $1 | 3% | — | $28 – $30 |
| 17 | Medicare fee schedule · outpatient | 18 | $18 | $19 | $12 | 62% | — | $3 – $34 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $35 | $35 | $1 | 4% | — | $33 – $39 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $15 | $15 | $13 | 82% | — | $2 – $28 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $28 | $29 | $8 | 26% | — | $14 – $34 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $28 | $60 | $41 | 68% | — | $28 – $123 |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $10 | $16 | $21 | 128% | — | $10 – $81 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $19 | $20 | $16 | 82% | — | $1 – $83 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $58 | $56 | $19 | 34% | — | $5 – $75 |
← Hospitals reporting HCPCS K0098 · Snapshot 20261113T090226Z-3ce6c0b8