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
Nonemerg transp mileage
Low
$0
Average
$18
Median
$2
High
$222
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 119.4× 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 | Aetna fee schedule · outpatient · +9 other terms | 23 | $0 | $10 | $22 | 222% | — | $0 – $70 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms | 20 | $2 | $3 | $2 | 63% | — | $1 – $9 |
| 3 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 18 | $0 | $101 | $218 | 216% | — | $0 – $669 |
| 4 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $4 | $3 | $2 | 57% | — | $1 – $5 |
| 5 | Highmark fee schedule · outpatient · +3 other terms | 10 | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Cigna professional · fee schedule · outpatient · +3 other terms | 9 | $1 | $1 | $0 | 21% | — | $1 – $1 |
| 7 | Medica fee schedule · both · +3 other terms | 9 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Ucare fee schedule · both · +1 other terms | 9 | $1 | $1 | $0 | 5% | — | $1 – $2 |
| 9 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Humana fee schedule · inpatient · +1 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | MultiPlan percent of total billed charges · bothfrom % of charges · +2 other terms | 5 | $6 | $6 | — | — | — | $6 – $6 |
| 12 | First Health professional · fee schedule · both · +4 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Anthem facility · fee schedule · outpatient · +1 other terms | 2 | $1 | $1 | $1 | 96% | — | $0 – $1 |
| 14 | Optum facility · fee schedule · outpatient | 2 | $2 | $2 | $0 | 7% | — | $2 – $2 |
| 15 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Bcbs Nv fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 19 | Caresource fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Healthpartners facility · fee schedule · both · +1 other terms | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | WellCare fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS S0215 · Snapshot 20261111T120946Z-9134e7f7