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 hm
Low
$381
Average
$1.1k
Median
$836
High
$3.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
44 payers; the 90th percentile is 2.8× 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 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 86 | $2.3k | $2.5k | $1.1k | 43% | — | $545 – $5.8k |
| 2 | UnitedHealthcare fee schedule · outpatient · +10 other terms | 75 | $859 | $865 | $365 | 42% | — | $141 – $1.6k |
| 3 | Humana fee schedule · outpatient · +9 other terms | 66 | $751 | $958 | $560 | 58% | — | $634 – $2.8k |
| 4 | Aetna fee schedule · outpatient · +8 other terms | 52 | $752 | $998 | $701 | 70% | — | $682 – $4.8k |
| 5 | WellCare fee schedule · outpatient · +3 other terms | 42 | $752 | $999 | $422 | 42% | — | $705 – $1.8k |
| 6 | Bcbs Tx fee schedule · outpatient | 31 | $2.6k | $2.5k | $1.2k | 47% | — | $705 – $5.0k |
| 7 | Molina fee schedule · outpatient · +3 other terms | 25 | $752 | $777 | $93 | 12% | — | $705 – $1.2k |
| 8 | Cigna facility · fee schedule · outpatient · +6 other terms | 23 | $1.3k | $2.2k | $1.4k | 66% | — | $715 – $4.1k |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 19 | $812 | $799 | $22 | 3% | — | $761 – $832 |
| 10 | Aetna Better Health fee schedule · outpatient · +1 other terms | 14 | $773 | $668 | $143 | 21% | — | $507 – $900 |
| 11 | MultiPlan fee schedule · outpatient · +4 other terms | 14 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Optum facility · fee schedule · outpatient | 14 | $696 | $703 | $19 | 3% | — | $693 – $753 |
| 13 | Wellmark fee schedule · both · +1 other terms | 13 | $751 | $750 | $0 | 0% | — | $750 – $751 |
| 14 | Amerihealth Caritas fee schedule · both | 12 | $758 | $758 | — | — | — | $758 – $758 |
| 15 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $759 | $908 | $472 | 52% | — | $349 – $2.8k |
| 16 | Bcbs Nj fee schedule · outpatient | 12 | $1.1k | $1.7k | $1.0k | 59% | — | $820 – $3.6k |
| 17 | Clover fee schedule · outpatient | 12 | $825 | $836 | $21 | 2% | — | $820 – $884 |
| 18 | Regence fee schedule · outpatient · +2 other terms | 12 | $2.1k | $2.0k | $726 | 37% | — | $987 – $4.1k |
| 19 | Ambetter facility · fee schedule · outpatient · +3 other terms | 11 | $1.8k | $1.7k | $269 | 16% | — | $747 – $1.9k |
| 20 | Anthem fee schedule · both · +6 other terms | 10 | $750 | $805 | $114 | 14% | — | $721 – $1.1k |
| 21 | Medica fee schedule · outpatient · +4 other terms | 10 | $1.6k | $1.6k | $402 | 26% | — | $945 – $2.0k |
| 22 | Premera fee schedule · outpatient · +1 other terms | 9 | $2.7k | $2.4k | $736 | 30% | — | $1.3k – $3.6k |
| 23 | Kaiser fee schedule · outpatient · +1 other terms | 8 | $3.5k | $3.6k | $986 | 28% | — | $2.1k – $5.9k |
| 24 | Bcbs La fee schedule · outpatient | 5 | $709 | $703 | $13 | 2% | — | $682 – $714 |
| 25 | Oscar facility · fee schedule · outpatient · +1 other terms | 4 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Hospitals reporting HCPCS M0241 · Snapshot 20261112T181611Z-3fa9fb76