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
Fee Schedule
Low
$6
Average
$366.6k
Median
$115.3k
High
$1458.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 8944.7× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 32 | $40 | $48 | $7 | 15% | — | $40 – $54 |
| 2 | Anthem facility · fee schedule · outpatient · +3 other terms | 7 | $101.4k | $748.5k | $346.6k | 46% | — | $17 – $1060.4k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $1684.9k | $1634.0k | $234.4k | 14% | — | $586.6k – $1705.7k |
| 4 | Bcbs Mn fee schedule · outpatient | 4 | $701.3k | $687.9k | $463.9k | 67% | — | $208.8k – $1665.6k |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 4 | $37.7k | $40.1k | $8.9k | 22% | — | $30.5k – $54.6k |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Wellmark facility · case rate · outpatient | 3 | $92.5k | $81.2k | $25.6k | 32% | — | $37.7k – $102.2k |
| 8 | Aetna facility · case rate · outpatient · +5 other terms | 2 | $46.2k | $46.2k | $8.5k | 18% | — | $37.7k – $54.6k |
| 9 | Aetna Better Health facility · case rate · outpatient | 1 | $28.8k | $28.8k | $452 | 2% | — | $28.3k – $29.2k |
| 10 | Amerihealth Caritas facility · case rate · outpatient | 1 | $30.5k | $30.5k | — | — | — | $30.5k – $30.5k |
| 11 | Bcbs Ca fee schedule · outpatient | 1 | $591.7k | $591.7k | — | — | — | $591.7k – $591.7k |
| 12 | Bcbs Id professional · fee schedule · outpatient | 1 | $484.5k | $484.5k | — | — | — | $484.5k – $484.5k |
| 13 | Cigna fee schedule · both · +3 other terms | 1 | $550.5k | $550.5k | $47.9k | 9% | — | $502.7k – $598.4k |
| 14 | Healthpartners facility · fee schedule · outpatient | 1 | $1458.2k | $1458.2k | — | — | — | $1458.2k – $1458.2k |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | Medica facility · percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | $38 | 41% | — | $69 – $156 |
| 17 | MultiPlan facility · percent of total billed charges · bothfrom % of charges | 1 | $191 | $191 | $8 | 4% | — | $183 – $199 |
| 18 | Ucare facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 19 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 1 | $529.2k | $529.2k | — | — | — | $529.2k – $529.2k |
← Hospitals reporting HCPCS Q2040 · Snapshot 20261113T090226Z-3ce6c0b8