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
PWC gp2 std mult pow opt s/b
Low
$15
Average
$1.5k
Median
$873
High
$8.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
50 payers; the 90th percentile is 5.8× 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 | $506 | $781 | $783 | 100% | — | $380 – $3.7k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $511 | $1.2k | $3.5k | 300% | — | $195 – $42.6k |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $511 | $903 | $1.1k | 119% | — | $278 – $5.5k |
| 4 | WellCare fee schedule · outpatient · +1 other terms | 185 | $522 | $549 | $95 | 17% | — | $493 – $981 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 179 | $532 | $1.6k | $3.8k | 237% | — | $0 – $32.9k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $506 | $522 | $50 | 9% | — | $483 – $736 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $527 | $521 | $36 | 7% | — | $506 – $703 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $712 | $711 | $271 | 38% | — | $419 – $1.7k |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 77 | $522 | $851 | $1.6k | 192% | — | $483 – $14.7k |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $532 | $536 | $26 | 5% | — | $532 – $684 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $506 | $561 | $153 | 27% | — | $483 – $1.2k |
| 12 | Clover fee schedule · outpatient | 34 | $527 | $526 | $50 | 9% | — | $493 – $684 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $571 | $595 | $180 | 30% | — | $446 – $2.2k |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $506 | $601 | $235 | 39% | — | $483 – $1.3k |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 27 | $517 | $517 | $41 | 8% | — | $483 – $637 |
| 16 | Oscar fee schedule · outpatient | 24 | $496 | $511 | $17 | 3% | — | $496 – $532 |
| 17 | Medicare fee schedule · outpatient | 18 | $483 | $503 | $50 | 10% | — | $483 – $637 |
| 18 | Amerihealth Caritas fee schedule · outpatient | 17 | $608 | $622 | $52 | 8% | — | $577 – $781 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $506 | $506 | — | — | — | $506 – $506 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $3.2k | $3.1k | $2.6k | 82% | — | $359 – $5.7k |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $5.9k | $6.0k | $1.6k | 26% | — | $3.0k – $7.2k |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $493 | $1.1k | $722 | 68% | — | $493 – $2.2k |
| 23 | MultiPlan facility · fee schedule · outpatient · +1 other terms | 11 | $1.9k | $1.9k | $147 | 8% | — | $1.4k – $1.9k |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $1.3k | $1.3k | $1.7k | 124% | — | $231 – $5.2k |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $972 | $979 | $244 | 25% | — | $589 – $1.3k |
← Hospitals reporting HCPCS K0841 · Snapshot 20261113T090226Z-3ce6c0b8