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
Fulphila PFS
Low
$52
Average
$2.1k
Median
$1.8k
High
$8.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 29.6× 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 · +25 other terms | 400 | $110 | $1.2k | $6.4k | 513% | 144 | $0 – $112.7k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 421 | $248 | $712 | $1.0k | 147% | 23–113 | $0 – $7.6k |
| 3 | Anthem fee schedule · outpatient · +25 other terms | 158 | $166 | $418 | $1.1k | 263% | 7–70 | $80 – $16.2k |
| 4 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 690 | $163 | $500 | $2.4k | 485% | 3–30 | $0 – $61.2k |
| 5 | Aetna fee schedule · outpatient · +29 other terms | 464 | $152 | $928 | $4.6k | 492% | 3–30 | $1 – $101.4k |
| 6 | Cigna fee schedule · outpatient · +25 other terms | 414 | $191 | $805 | $2.0k | 253% | — | $79 – $26.3k |
| 7 | Molina fee schedule · outpatient · +24 other terms | 146 | $134 | $457 | $1.0k | 222% | — | $1 – $7.9k |
| 8 | WellCare fee schedule · outpatient · +17 other terms | 141 | $109 | $191 | $419 | 220% | — | $61 – $2.9k |
| 9 | Caresource fee schedule · outpatient · +17 other terms | 95 | $138 | $195 | $362 | 185% | — | $1 – $5.7k |
| 10 | Kaiser fee schedule · outpatient · +21 other terms | 86 | $132 | $1.2k | $3.5k | 303% | — | $46 – $23.6k |
| 11 | MultiPlan fee schedule · outpatient · +16 other terms | 83 | $7.4k | $9.8k | $19.1k | 195% | — | $104 – $112.7k |
| 12 | Ambetter facility · fee schedule · outpatient · +16 other terms | 76 | $171 | $247 | $296 | 120% | — | $47 – $1.7k |
| 13 | Devoted fee schedule · outpatient · +12 other terms | 64 | $104 | $122 | $126 | 103% | — | $90 – $1.2k |
| 14 | Medica fee schedule · outpatient · +19 other terms | 55 | $1.9k | $1.1k | $2.0k | 182% | — | $99 – $8.4k |
| 15 | Highmark facility · fee schedule · outpatient · +18 other terms | 46 | $158 | $349 | $392 | 112% | — | $89 – $1.8k |
| 16 | Optum facility · fee schedule · outpatient · +20 other terms | 45 | $136 | $311 | $501 | 161% | — | $79 – $1.9k |
| 17 | Regence facility · fee schedule · both · +17 other terms | 40 | $1.4k | $2.2k | $1.4k | 67% | — | $250 – $8.1k |
| 18 | Carefirst facility · fee schedule · both · +8 other terms | 38 | $1.4k | $2.1k | $1.6k | 73% | — | $1.2k – $8.1k |
| 19 | Excellus facility · fee schedule · both · +10 other terms | 38 | $1.4k | $2.0k | $1.5k | 75% | — | $1.2k – $8.1k |
| 20 | Premera facility · fee schedule · both · +8 other terms | 38 | $1.4k | $2.1k | $1.6k | 74% | — | $1.2k – $8.1k |
| 21 | Wellmark facility · fee schedule · both · +17 other terms | 38 | $1.4k | $2.0k | $1.5k | 75% | — | $1.2k – $8.1k |
| 22 | Medicare fee schedule · outpatient · +13 other terms | 35 | $97 | $109 | $10 | 9% | — | $59 – $137 |
| 23 | Oscar facility · fee schedule · outpatient · +17 other terms | 35 | $119 | $128 | $35 | 27% | — | $69 – $251 |
| 24 | Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms | 30 | $103 | $361 | $606 | 168% | — | $84 – $2.7k |
| 25 | Medicaid facility · fee schedule · outpatient · +13 other terms | 30 | $1.5k | $1.4k | $1.3k | 93% | — | $13 – $4.3k |
← Hospitals reporting HCPCS Q5108 · Snapshot 20261111T120946Z-9134e7f7