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 gp4 std sing pow opt s/b
Low
$0
Average
$4.5k
Median
$3.9k
High
$8.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
13 payers; the 90th percentile is 4.0× 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 · +4 other terms | 63 | $2.9k | $2.6k | $1.4k | 55% | — | $488 – $5.1k |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 34 | $4.2k | $12.6k | $13.6k | 107% | — | $0 – $54.2k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 19 | $5.1k | $9.1k | $8.5k | 93% | — | $513 – $33.0k |
| 4 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $13.3k | $10.0k | $5.7k | 57% | — | $4.2k – $16.7k |
| 5 | Anthem professional · fee schedule · outpatient · +2 other terms | 10 | $3.3k | $3.1k | $2.1k | 65% | — | $477 – $5.3k |
| 6 | Highmark fee schedule · outpatient · +1 other terms | 10 | $1.8k | $1.8k | $1.9k | 106% | — | $440 – $4.4k |
| 7 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 8 | First Health professional · fee schedule · both | 3 | $3.4k | $3.4k | $2.3k | 69% | — | $565 – $5.6k |
| 9 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Bcbs Nv fee schedule · outpatient | 1 | $3.2k | $3.2k | $2.0k | 62% | — | $525 – $5.3k |
| 11 | Bcbs Vt professional · fee schedule · outpatient | 1 | $2.8k | $2.8k | $2.3k | 82% | — | $513 – $5.1k |
| 12 | Cigna fee schedule · both · +1 other terms | 1 | $7.8k | $7.8k | $4.7k | 61% | — | $1.1k – $11.1k |
| 13 | UnitedHealthcare fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
← Hospitals reporting HCPCS K0877 · Snapshot 20261113T090226Z-3ce6c0b8