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
Hospice refer visit nonmd
Low
$0
Average
$106
Median
$80
High
$229
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 2.8× 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 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 21 | $87 | $141 | $73 | 52% | — | $0 – $267 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 20 | $68 | $176 | $164 | 93% | — | $68 – $679 |
| 3 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $58 | $63 | $15 | 23% | — | $39 – $98 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $59 | $63 | $14 | 23% | — | $39 – $100 |
| 5 | Molina facility · case rate · outpatient · +1 other terms | 15 | $58 | $63 | $15 | 23% | — | $40 – $98 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 15 | $59 | $64 | $15 | 23% | — | $40 – $100 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 11 | $54 | $60 | $13 | 22% | — | $49 – $89 |
| 8 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $70 | $70 | — | — | — | $70 – $70 |
| 9 | Humana fee schedule · inpatient · +4 other terms | 5 | $68 | $68 | — | — | — | $68 – $68 |
| 10 | First Health professional · fee schedule · both | 3 | $86 | $86 | $11 | 13% | — | $75 – $97 |
| 11 | MultiPlan professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 12 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Bcbs Nc facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 14 | Bcbs Nv fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 15 | Bcbs Vt professional · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 16 | Cigna fee schedule · both · +1 other terms | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 17 | Oscar percent of total billed charges · bothfrom % of charges | 1 | $189 | $189 | — | — | — | $189 – $189 |
← Hospitals reporting HCPCS S0255 · Snapshot 20261113T090226Z-3ce6c0b8