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 mult pow opt s/b
Low
$0
Average
$6.2k
Median
$5.7k
High
$18.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 3.7× 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 | $4.4k | $3.9k | $2.1k | 53% | — | $746 – $6.2k |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 34 | $6.8k | $15.3k | $15.5k | 101% | — | $0 – $61.3k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 19 | $6.9k | $14.1k | $15.3k | 108% | — | $626 – $56.0k |
| 4 | Wellmark fee schedule · both | 13 | $2.9k | $2.9k | $2.4k | 82% | — | $535 – $5.4k |
| 5 | Anthem professional · fee schedule · outpatient · +2 other terms | 10 | $5.4k | $5.4k | $3.5k | 66% | — | $877 – $9.7k |
| 6 | Highmark fee schedule · outpatient · +1 other terms | 10 | $2.7k | $2.7k | $2.9k | 106% | — | $672 – $6.7k |
| 7 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $3.7k | $3.7k | $3.1k | 82% | — | $681 – $6.8k |
| 8 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 9 | First Health professional · fee schedule · both | 3 | $4.0k | $4.0k | $2.8k | 70% | — | $680 – $6.8k |
| 10 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Bcbs Nc facility · fee schedule · outpatient | 1 | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 12 | Bcbs Nv fee schedule · outpatient | 1 | $3.9k | $3.9k | $2.4k | 62% | — | $630 – $6.3k |
| 13 | Bcbs Vt professional · fee schedule · outpatient | 1 | $3.4k | $3.4k | $2.8k | 82% | — | $626 – $6.3k |
| 14 | Cigna fee schedule · both · +1 other terms | 1 | $8.3k | $8.3k | $5.0k | 61% | — | $1.2k – $11.8k |
| 15 | UnitedHealthcare fee schedule · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
← Hospitals reporting HCPCS K0884 · Snapshot 20261113T090226Z-3ce6c0b8