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
$55
Average
$309
Median
$252
High
$1.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 10.2× 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 · +2 other terms | 41 | $1.8k | $1.8k | $742 | 42% | — | $215 – $2.4k |
| 2 | Anthem facility · case rate · outpatient · +2 other terms | 15 | $53 | $58 | $14 | 23% | — | $36 – $90 |
| 3 | Caresource facility · case rate · outpatient | 15 | $54 | $58 | $13 | 23% | — | $36 – $92 |
| 4 | Molina facility · case rate · outpatient | 15 | $53 | $58 | $13 | 23% | — | $37 – $90 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 15 | $54 | $59 | $14 | 23% | — | $37 – $92 |
| 6 | Optum facility · case rate · outpatient | 11 | $50 | $55 | $12 | 22% | — | $45 – $81 |
| 7 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $271 | $274 | $91 | 33% | — | $141 – $339 |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 7 | $289 | $263 | $82 | 31% | — | $0 – $311 |
| 9 | Cigna professional · fee schedule · outpatient · +2 other terms | 3 | $183 | $221 | $68 | 31% | — | $145 – $287 |
| 10 | Aetna professional · fee schedule · outpatient | 2 | $141 | $141 | — | — | — | $141 – $141 |
| 11 | Amerihealth Caritas professional · fee schedule · outpatient | 2 | $151 | $151 | — | — | — | $151 – $151 |
| 12 | Bcbs Vt professional · fee schedule · outpatient | 2 | $183 | $208 | $38 | 18% | — | $141 – $260 |
| 13 | Ambetter professional · fee schedule · outpatient | 1 | $260 | $260 | — | — | — | $260 – $260 |
| 14 | Healthpartners facility · fee schedule · outpatient | 1 | $788 | $788 | — | — | — | $788 – $788 |
| 15 | MultiPlan fee schedule · both · +1 other terms | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | WellCare professional · fee schedule · outpatient | 1 | $260 | $260 | — | — | — | $260 – $260 |
← Hospitals reporting HCPCS K0553 · Snapshot 20261112T181611Z-3fa9fb76