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
Follow-up/reassessment
Low
$0
Average
$89
Median
$70
High
$303
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 7.7× 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 | Molina facility · case rate · outpatient · +5 other terms | 29 | $34 | $61 | $43 | 70% | — | $14 – $182 |
| 2 | Aetna fee schedule · outpatient · +10 other terms | 24 | $22 | $63 | $60 | 95% | — | $20 – $200 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +13 other terms | 17 | $21 | $32 | $24 | 74% | — | $14 – $88 |
| 4 | MultiPlan percent of total billed charges · bothfrom % of charges · +3 other terms | 16 | $61 | $111 | $114 | 103% | — | $61 – $547 |
| 5 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $20 | $22 | $5 | 23% | — | $13 – $34 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $20 | $22 | $5 | 23% | — | $13 – $34 |
| 7 | Medcost percent of total billed charges · bothfrom % of charges · +1 other terms | 14 | $54 | $60 | $30 | 50% | — | $51 – $212 |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms | 13 | $160 | $185 | $85 | 46% | — | $112 – $429 |
| 9 | Cigna facility · fee schedule · outpatient · +5 other terms | 13 | $9 | $138 | $117 | 85% | — | $9 – $354 |
| 10 | Optum facility · case rate · outpatient · +3 other terms | 13 | $19 | $29 | $20 | 70% | — | $17 – $76 |
| 11 | Wellmark fee schedule · both · +1 other terms | 13 | $48 | $48 | — | — | — | $48 – $48 |
| 12 | Humana fee schedule · outpatient · +7 other terms | 9 | $20 | $92 | $80 | 87% | — | $20 – $183 |
| 13 | Tricare percent of total billed charges · bothfrom % of charges | 8 | $106 | $100 | $17 | 17% | — | $55 – $106 |
| 14 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $88 | $89 | $3 | 3% | — | $88 – $96 |
| 16 | Oscar percent of total billed charges · bothfrom % of charges | 5 | $72 | $77 | $14 | 18% | — | $72 – $117 |
| 17 | Ambetter fee schedule · both · +2 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Phcs percent of total billed charges · bothfrom % of charges · +1 other terms | 4 | $105 | $105 | — | — | — | $105 – $105 |
| 19 | First Health professional · fee schedule · both · +3 other terms | 3 | $22 | $22 | — | — | — | $22 – $22 |
| 20 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges | 3 | $44 | $44 | — | — | — | $44 – $44 |
| 21 | Medicaid facility · case rate · outpatient · +1 other terms | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 22 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Bcbs Nv fee schedule · outpatient | 1 | $67 | $67 | $11 | 16% | — | $57 – $78 |
| 24 | Bcbs Vt professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 25 | Healthpartners facility · fee schedule · outpatient | 1 | $303 | $303 | — | — | — | $303 – $303 |
← Hospitals reporting HCPCS S0316 · Snapshot 20261112T181611Z-3fa9fb76