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
$51
Average
$59.5k
Median
$30.7k
High
$189.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 2957.7× 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 | Humana fee schedule · outpatient · +2 other terms | 32 | $350 | $423 | $62 | 15% | — | $350 – $476 |
| 2 | Highmark fee schedule · outpatient · +2 other terms | 10 | $56 | $56 | — | — | — | $56 – $56 |
| 3 | Anthem facility · fee schedule · outpatient · +1 other terms | 7 | $52.0k | $27.0k | $28.1k | 104% | — | $129 – $66.7k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 5 | $207 | $206 | $1 | 1% | — | $204 – $208 |
| 5 | Molina facility · case rate · outpatient · +1 other terms | 4 | $23.6k | $24.9k | $5.8k | 23% | — | $18.3k – $34.2k |
| 6 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $53 | $53 | — | — | — | $53 – $53 |
| 7 | Wellmark facility · case rate · outpatient | 3 | $57.9k | $50.8k | $16.0k | 32% | — | $23.6k – $63.9k |
| 8 | Aetna facility · case rate · outpatient · +3 other terms | 2 | $28.9k | $28.9k | $5.3k | 18% | — | $23.6k – $34.2k |
| 9 | Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms | 2 | $55 | $56 | $4 | 8% | — | $53 – $62 |
| 10 | Cigna facility · fee schedule · outpatient · +3 other terms | 2 | $110 | $88 | $40 | 45% | — | $56 – $155 |
| 11 | Aetna Better Health facility · case rate · outpatient | 1 | $17.6k | $17.6k | $109 | 1% | — | $17.5k – $17.7k |
| 12 | Bcbs Id professional · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 13 | First Health percent of total billed charges · bothfrom % of charges | 1 | $189.9k | $189.9k | $100.3k | 53% | — | $64.0k – $340.2k |
| 14 | Healthpartners facility · fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 15 | Kaiser percent of total billed charges · bothfrom % of charges | 1 | $186.4k | $186.4k | $98.3k | 53% | — | $64.8k – $324.2k |
| 16 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 1 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
← Hospitals reporting HCPCS Q9995 · Snapshot 20261113T090226Z-3ce6c0b8