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
Plt, aph/pher, l/r, cmv-neg
Low
$131
Average
$903
Median
$678
High
$4.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
59 payers; the 90th percentile is 7.1× 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 · +19 other terms | 303 | $259 | $933 | $1.1k | 123% | — | $1 – $6.0k |
| 2 | UnitedHealthcare fee schedule · outpatient · +22 other terms | 273 | $283 | $515 | $777 | 151% | — | $1 – $7.4k |
| 3 | Humana fee schedule · outpatient · +18 other terms | 231 | $250 | $812 | $1.2k | 143% | — | $1 – $5.8k |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +19 other terms | 185 | $259 | $565 | $662 | 117% | — | $26 – $4.2k |
| 5 | Cigna fee schedule · outpatient · +16 other terms | 105 | $250 | $636 | $925 | 145% | — | $125 – $4.5k |
| 6 | WellCare fee schedule · outpatient · +9 other terms | 104 | $244 | $356 | $286 | 80% | — | $213 – $1.8k |
| 7 | Molina fee schedule · outpatient · +15 other terms | 99 | $338 | $375 | $184 | 49% | — | $1 – $1.9k |
| 8 | Anthem fee schedule · outpatient · +19 other terms | 85 | $376 | $601 | $590 | 98% | — | $175 – $3.8k |
| 9 | Ambetter facility · fee schedule · outpatient · +12 other terms | 66 | $463 | $453 | $99 | 22% | — | $227 – $589 |
| 10 | Kaiser fee schedule · outpatient · +12 other terms | 55 | $313 | $532 | $539 | 101% | — | $200 – $2.6k |
| 11 | Devoted facility · fee schedule · outpatient · +9 other terms | 49 | $250 | $251 | $19 | 8% | — | $210 – $282 |
| 12 | Aetna Better Health fee schedule · outpatient · +5 other terms | 45 | $404 | $359 | $106 | 29% | — | $27 – $489 |
| 13 | MultiPlan fee schedule · outpatient · +9 other terms | 33 | $422 | $1.5k | $2.0k | 137% | — | $227 – $6.7k |
| 14 | Tricare facility · fee schedule · outpatient · +8 other terms | 29 | $238 | $240 | $15 | 6% | — | $203 – $293 |
| 15 | Bcbs Tx fee schedule · outpatient · +2 other terms | 27 | $234 | $287 | $76 | 27% | — | $213 – $393 |
| 16 | Clover fee schedule · outpatient · +3 other terms | 25 | $250 | $248 | $10 | 4% | — | $232 – $268 |
| 17 | Optum facility · fee schedule · outpatient · +7 other terms | 25 | $227 | $265 | $217 | 82% | — | $210 – $1.6k |
| 18 | Caresource facility · case rate · outpatient · +12 other terms | 23 | $337 | $358 | $89 | 25% | — | $211 – $537 |
| 19 | Regence facility · fee schedule · outpatient · +9 other terms | 21 | $261 | $396 | $355 | 90% | — | $193 – $1.3k |
| 20 | Highmark facility · fee schedule · outpatient · +11 other terms | 20 | $324 | $357 | $229 | 64% | — | $36 – $1.0k |
| 21 | Medica facility · fee schedule · outpatient · +11 other terms | 19 | $256 | $372 | $529 | 142% | — | $227 – $2.7k |
| 22 | Oscar facility · fee schedule · outpatient · +8 other terms | 19 | $331 | $314 | $48 | 15% | — | $227 – $402 |
| 23 | Medicare fee schedule · outpatient · +6 other terms | 18 | $245 | $245 | — | — | — | $245 – $245 |
| 24 | Medicaid facility · fee schedule · outpatient · +8 other terms | 17 | $293 | $304 | $95 | 31% | — | $194 – $392 |
| 25 | Amerihealth Caritas facility · fee schedule · outpatient · +5 other terms | 16 | $36 | $87 | $88 | 102% | — | $35 – $239 |
← Hospitals reporting HCPCS P9055 · Snapshot 20261111T120946Z-9134e7f7