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
Halo repl liner/interface
Low
$67
Average
$497
Median
$341
High
$2.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 5.4× 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 | UnitedHealthcare fee schedule · outpatient · +17 other terms | 381 | $268 | $296 | $176 | 60% | — | $90 – $1.9k |
| 2 | Aetna fee schedule · outpatient · +18 other terms | 364 | $268 | $308 | $144 | 47% | — | $133 – $1.7k |
| 3 | Humana fee schedule · outpatient · +17 other terms | 321 | $265 | $396 | $425 | 107% | — | $136 – $2.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +14 other terms | 226 | $272 | $371 | $215 | 58% | — | $0 – $1.4k |
| 5 | WellCare fee schedule · outpatient · +7 other terms | 209 | $274 | $281 | $42 | 15% | — | $249 – $504 |
| 6 | Devoted fee schedule · outpatient · +4 other terms | 165 | $266 | $268 | $6 | 2% | — | $257 – $322 |
| 7 | Molina fee schedule · outpatient · +11 other terms | 145 | $376 | $354 | $141 | 40% | — | $90 – $698 |
| 8 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 116 | $272 | $271 | $9 | 3% | — | $266 – $325 |
| 9 | Cigna fee schedule · outpatient · +14 other terms | 113 | $274 | $402 | $263 | 65% | — | $249 – $1.9k |
| 10 | Anthem fee schedule · outpatient · +18 other terms | 85 | $263 | $363 | $313 | 86% | — | $135 – $2.0k |
| 11 | Kaiser fee schedule · outpatient · +11 other terms | 70 | $273 | $412 | $290 | 70% | — | $135 – $1.9k |
| 12 | Ambetter facility · fee schedule · outpatient · +7 other terms | 44 | $398 | $476 | $119 | 25% | — | $253 – $666 |
| 13 | Caresource fee schedule · outpatient · +7 other terms | 40 | $266 | $275 | $55 | 20% | — | $174 – $409 |
| 14 | Superior Healthplan fee schedule · outpatient · +2 other terms | 40 | $280 | $280 | $1 | 0% | — | $261 – $280 |
| 15 | Clover fee schedule · outpatient · +2 other terms | 37 | $266 | $268 | $14 | 5% | — | $253 – $316 |
| 16 | Oscar fee schedule · outpatient · +5 other terms | 36 | $280 | $307 | $65 | 21% | — | $261 – $448 |
| 17 | Optum fee schedule · outpatient · +6 other terms | 34 | $266 | $360 | $144 | 40% | — | $256 – $666 |
| 18 | Medica facility · fee schedule · outpatient · +6 other terms | 24 | $271 | $249 | $64 | 26% | — | $88 – $439 |
| 19 | Medicare fee schedule · outpatient · +3 other terms | 19 | $257 | $258 | $3 | 1% | — | $249 – $263 |
| 20 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $279 | $267 | $21 | 8% | — | $215 – $284 |
| 21 | Amerihealth Caritas fee schedule · outpatient · +3 other terms | 18 | $320 | $311 | $18 | 6% | — | $264 – $320 |
| 22 | Bcbs Tx fee schedule · outpatient | 18 | $261 | $261 | — | — | — | $261 – $261 |
| 23 | Tricare facility · fee schedule · outpatient · +4 other terms | 17 | $259 | $257 | $7 | 3% | — | $233 – $263 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $265 | $305 | $75 | 25% | — | $144 – $419 |
| 25 | Highmark facility · fee schedule · outpatient · +7 other terms | 14 | $447 | $446 | $185 | 42% | — | $248 – $736 |
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