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
$2
Average
$52
Median
$22
High
$753
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 33.1× 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 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 51 | $5 | $17 | $27 | 160% | — | $2 – $135 |
| 2 | Humana fee schedule · outpatient · +5 other terms | 41 | $56 | $55 | $22 | 41% | — | $8 – $76 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +7 other terms | 16 | $49 | $52 | $12 | 23% | — | $33 – $82 |
| 4 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $47 | $52 | $12 | 23% | — | $32 – $80 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $48 | $52 | $12 | 23% | — | $32 – $82 |
| 6 | Molina facility · case rate · outpatient · +3 other terms | 15 | $47 | $52 | $12 | 23% | — | $33 – $80 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 11 | $45 | $49 | $11 | 22% | — | $40 – $73 |
| 8 | Cigna facility · fee schedule · outpatient · +6 other terms | 10 | $3 | $11 | $11 | 104% | — | $2 – $27 |
| 9 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 9 | $76 | $103 | $95 | 93% | — | $1 – $262 |
| 10 | Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 8 | $6 | $6 | $1 | 23% | — | $4 – $11 |
| 11 | Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges | 8 | $9 | $10 | $6 | 59% | — | $3 – $27 |
| 12 | First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 8 | $76 | $753 | $1.9k | 259% | — | $5 – $6.6k |
| 13 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $2 | $2 | $1 | 33% | — | $1 – $3 |
| 14 | Oscar facility · percent of total billed charges · outpatientfrom % of charges | 7 | $6 | $6 | $1 | 16% | — | $5 – $7 |
| 15 | Highmark facility · fee schedule · outpatient · +1 other terms | 5 | $2 | $173 | $137 | 79% | — | $2 – $445 |
| 16 | Aetna fee schedule · outpatient · +8 other terms | 4 | $7 | $6 | $3 | 50% | — | $2 – $9 |
| 17 | WellCare facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 4 | $4 | $4 | $3 | 74% | — | $1 – $10 |
| 18 | Bcbs Tx facility · fee schedule · outpatient | 3 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 19 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges | 3 | $11 | $47 | $58 | 122% | — | $2 – $129 |
| 20 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 3 | $2 | $10 | $12 | 122% | — | $0 – $27 |
| 22 | Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms | 2 | $37 | $37 | — | — | — | $37 – $37 |
| 23 | Kaiser fee schedule · both | 2 | $32 | $32 | — | — | — | $32 – $32 |
| 24 | Phcs facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | Tricare facility · fee schedule · outpatient · +1 other terms | 2 | $6 | $6 | — | — | — | $6 – $6 |
← Hospitals reporting HCPCS S0030 · Snapshot 20261112T181611Z-3fa9fb76