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
Set up port xray equipment
Low
$0
Average
$49
Median
$31
High
$290
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 4.0× 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 | Blue Cross Blue Shield fee schedule · outpatient · +13 other terms | 136 | $70 | $72 | $35 | 48% | — | $0 – $237 |
| 2 | Humana fee schedule · outpatient · +13 other terms | 126 | $45 | $90 | $83 | 92% | — | $16 – $236 |
| 3 | UnitedHealthcare fee schedule · outpatient · +17 other terms | 110 | $27 | $96 | $155 | 160% | — | $1 – $934 |
| 4 | Aetna fee schedule · outpatient · +16 other terms | 95 | $27 | $46 | $40 | 87% | — | $18 – $195 |
| 5 | Anthem fee schedule · outpatient · +10 other terms | 48 | $44 | $84 | $64 | 76% | — | $23 – $335 |
| 6 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $95 | $96 | $29 | 30% | — | $39 – $179 |
| 7 | Molina professional · fee schedule · outpatient · +8 other terms | 27 | $23 | $23 | $2 | 7% | — | $23 – $34 |
| 8 | Cigna fee schedule · outpatient · +14 other terms | 25 | $27 | $28 | $3 | 11% | — | $23 – $37 |
| 9 | Kaiser fee schedule · outpatient · +5 other terms | 25 | $27 | $27 | $1 | 4% | — | $23 – $27 |
| 10 | Devoted fee schedule · outpatient · +6 other terms | 21 | $27 | $27 | $1 | 2% | — | $25 – $27 |
| 11 | Caresource facility · case rate · outpatient · +7 other terms | 20 | $76 | $72 | $28 | 39% | — | $24 – $136 |
| 12 | Regence professional · fee schedule · outpatient · +1 other terms | 20 | $23 | $24 | $3 | 14% | — | $23 – $39 |
| 13 | Medicare fee schedule · outpatient · +2 other terms | 18 | $27 | $25 | $2 | 6% | — | $23 – $27 |
| 14 | WellCare professional · fee schedule · outpatient · +9 other terms | 17 | $24 | $25 | $1 | 5% | — | $24 – $28 |
| 15 | Ambetter fee schedule · outpatient · +7 other terms | 14 | $70 | $62 | $13 | 21% | — | $32 – $70 |
| 16 | Medica fee schedule · outpatient · +5 other terms | 13 | $98 | $200 | $315 | 158% | — | $37 – $1.1k |
| 17 | Wellmark fee schedule · both · +2 other terms | 13 | $36 | $36 | $8 | 22% | — | $24 – $57 |
| 18 | Aetna Better Health fee schedule · outpatient · +4 other terms | 12 | $24 | $23 | $0 | 2% | — | $23 – $24 |
| 19 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $108 | $69 | $60 | 87% | — | $0 – $135 |
| 20 | Bcbs Nj fee schedule · outpatient · +3 other terms | 12 | $4 | $4 | $1 | 15% | — | $4 – $7 |
| 21 | Cigna Healthspring fee schedule · both · +2 other terms | 12 | $24 | $24 | $0 | 1% | — | $24 – $25 |
| 22 | Highmark fee schedule · outpatient · +5 other terms | 12 | $28 | $28 | $2 | 6% | — | $12 – $29 |
| 23 | Optum facility · case rate · outpatient · +3 other terms | 12 | $73 | $73 | $25 | 35% | — | $28 – $121 |
| 24 | MultiPlan fee schedule · both · +3 other terms | 11 | $47 | $47 | $3 | 6% | — | $41 – $51 |
| 25 | Medical Mutual facility · fee schedule · outpatient | 10 | $24 | $29 | $6 | 21% | — | $24 – $37 |
← Hospitals reporting HCPCS Q0092 · Snapshot 20261112T181611Z-3fa9fb76