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
Casiri and imdev repeat
Low
$139
Average
$608
Median
$533
High
$1.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 3.2× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 100 | $502 | $589 | $355 | 60% | — | $76 – $1.6k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +14 other terms | 97 | $1.3k | $1.4k | $671 | 46% | — | $319 – $3.5k |
| 3 | Humana fee schedule · outpatient · +16 other terms | 73 | $450 | $555 | $324 | 58% | — | $260 – $1.7k |
| 4 | Aetna fee schedule · outpatient · +14 other terms | 58 | $451 | $579 | $404 | 70% | — | $186 – $2.9k |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 43 | $451 | $590 | $258 | 44% | — | $179 – $1.1k |
| 6 | MultiPlan fee schedule · outpatient · +9 other terms | 32 | $728 | $728 | $48 | 7% | — | $578 – $784 |
| 7 | Bcbs Tx fee schedule · outpatient | 31 | $1.6k | $1.5k | $694 | 47% | — | $423 – $3.0k |
| 8 | Molina facility · case rate · outpatient · +8 other terms | 30 | $244 | $292 | $103 | 35% | — | $176 – $495 |
| 9 | Medica fee schedule · outpatient · +8 other terms | 27 | $632 | $796 | $260 | 33% | — | $260 – $1.2k |
| 10 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $483 | $394 | $106 | 27% | — | $111 – $522 |
| 11 | Cigna facility · fee schedule · outpatient · +11 other terms | 25 | $637 | $1.2k | $852 | 74% | — | $419 – $2.4k |
| 12 | Devoted fee schedule · outpatient · +3 other terms | 19 | $487 | $479 | $13 | 3% | — | $457 – $499 |
| 13 | Anthem facility · case rate · outpatient · +13 other terms | 18 | $265 | $338 | $101 | 30% | — | $171 – $495 |
| 14 | Caresource facility · case rate · outpatient · +3 other terms | 18 | $270 | $360 | $160 | 44% | — | $171 – $743 |
| 15 | Aetna Better Health fee schedule · outpatient · +4 other terms | 14 | $464 | $401 | $86 | 21% | — | $305 – $540 |
| 16 | Optum facility · fee schedule · outpatient · +6 other terms | 14 | $418 | $422 | $11 | 3% | — | $416 – $452 |
| 17 | Wellmark fee schedule · both · +3 other terms | 13 | $451 | $450 | $0 | 0% | — | $450 – $451 |
| 18 | Amerihealth Caritas fee schedule · both · +6 other terms | 12 | $455 | $455 | — | — | — | $455 – $455 |
| 19 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $455 | $545 | $283 | 52% | — | $209 – $1.7k |
| 20 | Bcbs Nj fee schedule · outpatient · +3 other terms | 12 | $675 | $1.0k | $611 | 59% | — | $492 – $2.2k |
| 21 | Clover fee schedule · outpatient · +2 other terms | 12 | $495 | $502 | $12 | 2% | — | $492 – $531 |
| 22 | Medcost percent of total billed charges · inpatientfrom % of charges · +3 other terms | 12 | $682 | $723 | $165 | 23% | — | $374 – $1.2k |
| 23 | Regence fee schedule · outpatient · +2 other terms | 12 | $1.2k | $1.2k | $436 | 37% | — | $592 – $2.5k |
| 24 | Ambetter facility · fee schedule · outpatient · +6 other terms | 11 | $1.1k | $1.0k | $162 | 16% | — | $448 – $1.2k |
| 25 | Phcs fee schedule · inpatient · +6 other terms | 10 | $542 | $617 | $91 | 15% | — | $542 – $728 |
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