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
$24
Average
$158
Median
$58
High
$679
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 14.2× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem facility · case rate · outpatient · +2 other terms | 15 | $53 | $58 | $14 | 23% | — | $36 – $90 |
| 2 | Caresource facility · case rate · outpatient | 15 | $54 | $58 | $13 | 23% | — | $36 – $92 |
| 3 | Molina facility · case rate · outpatient | 15 | $53 | $58 | $13 | 23% | — | $37 – $90 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 15 | $54 | $59 | $14 | 23% | — | $37 – $92 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 12 | $167 | $231 | $222 | 96% | — | $24 – $867 |
| 6 | Optum facility · case rate · outpatient | 11 | $50 | $55 | $12 | 22% | — | $45 – $81 |
| 7 | Humana facility · fee schedule · outpatient · +1 other terms | 6 | $442 | $442 | $374 | 85% | — | $55 – $926 |
| 8 | Regence facility · fee schedule · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Cigna fee schedule · both · +1 other terms | 1 | $32 | $32 | $3 | 9% | — | $29 – $34 |
| 10 | Healthpartners facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 11 | Medica professional · fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Wellmark case rate · outpatient | 1 | $679 | $679 | — | — | — | $679 – $679 |
← Hospitals reporting HCPCS K1033 · Snapshot 20261113T090226Z-3ce6c0b8