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
WB/RBC LR CMV NEG EA
Low
$79
Average
$453
Median
$408
High
$1.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 4.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +20 other terms | 299 | $188 | $814 | $709 | 87% | — | $1 – $2.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +21 other terms | 288 | $172 | $558 | $2.0k | 350% | — | $1 – $28.7k |
| 3 | Humana fee schedule · outpatient · +19 other terms | 243 | $176 | $466 | $583 | 125% | — | $1 – $2.5k |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +20 other terms | 195 | $176 | $283 | $210 | 74% | — | $31 – $1.3k |
| 5 | Cigna fee schedule · outpatient · +17 other terms | 108 | $182 | $392 | $423 | 108% | — | $142 – $1.9k |
| 6 | WellCare fee schedule · outpatient · +12 other terms | 105 | $172 | $233 | $135 | 58% | — | $151 – $780 |
| 7 | Molina fee schedule · outpatient · +16 other terms | 97 | $170 | $178 | $180 | 101% | — | $1 – $1.5k |
| 8 | Anthem fee schedule · outpatient · +19 other terms | 84 | $341 | $585 | $555 | 95% | — | $35 – $2.8k |
| 9 | Ambetter facility · fee schedule · outpatient · +13 other terms | 64 | $294 | $313 | $82 | 26% | — | $158 – $446 |
| 10 | Kaiser fee schedule · outpatient · +13 other terms | 58 | $189 | $295 | $293 | 99% | — | $24 – $1.8k |
| 11 | Devoted facility · fee schedule · outpatient · +10 other terms | 50 | $152 | $155 | $12 | 8% | — | $125 – $183 |
| 12 | MultiPlan fee schedule · outpatient · +9 other terms | 49 | $557 | $778 | $814 | 105% | — | $34 – $2.9k |
| 13 | Aetna Better Health fee schedule · outpatient · +5 other terms | 44 | $81 | $105 | $66 | 63% | — | $81 – $330 |
| 14 | Bcbs Tx fee schedule · outpatient · +2 other terms | 27 | $163 | $131 | $46 | 35% | — | $75 – $177 |
| 15 | Tricare facility · fee schedule · outpatient · +9 other terms | 27 | $144 | $174 | $113 | 65% | — | $115 – $757 |
| 16 | Optum facility · fee schedule · outpatient · +9 other terms | 26 | $162 | $191 | $125 | 66% | — | $152 – $953 |
| 17 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 25 | $188 | $188 | $38 | 20% | — | $142 – $246 |
| 18 | Clover fee schedule · outpatient · +5 other terms | 25 | $188 | $176 | $21 | 12% | — | $144 – $203 |
| 19 | Medica fee schedule · outpatient · +12 other terms | 25 | $296 | $348 | $163 | 47% | — | $178 – $683 |
| 20 | Caresource facility · case rate · outpatient · +15 other terms | 23 | $214 | $229 | $55 | 24% | — | $129 – $327 |
| 21 | Regence facility · fee schedule · outpatient · +9 other terms | 21 | $160 | $233 | $187 | 80% | — | $146 – $779 |
| 22 | Superior Healthplan facility · fee schedule · outpatient · +3 other terms | 21 | $156 | $154 | $4 | 2% | — | $149 – $157 |
| 23 | Highmark facility · fee schedule · outpatient · +11 other terms | 20 | $231 | $244 | $168 | 69% | — | $36 – $780 |
| 24 | Medicaid facility · fee schedule · outpatient · +9 other terms | 19 | $142 | $147 | $17 | 12% | — | $138 – $206 |
| 25 | Medicare fee schedule · outpatient · +7 other terms | 19 | $149 | $151 | $10 | 6% | — | $149 – $196 |
← Hospitals reporting HCPCS P9051 · Snapshot 20261111T120946Z-9134e7f7