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
Lifestyle mod 2 or 3 stage
Low
$0
Average
$75
Median
$63
High
$375
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 10.3× 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 · +4 other terms | 27 | $32 | $60 | $44 | 73% | — | $14 – $182 |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 24 | $13 | $47 | $56 | 120% | — | $11 – $174 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 17 | $21 | $32 | $24 | 74% | — | $14 – $88 |
| 4 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $20 | $22 | $5 | 23% | — | $13 – $34 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $20 | $22 | $5 | 23% | — | $13 – $34 |
| 6 | Optum facility · case rate · outpatient · +1 other terms | 13 | $19 | $29 | $20 | 70% | — | $17 – $76 |
| 7 | Wellmark fee schedule · both · +1 other terms | 13 | $386 | $386 | — | — | — | $386 – $386 |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms | 10 | $71 | $84 | $32 | 38% | — | $55 – $163 |
| 9 | Humana fee schedule · outpatient · +3 other terms | 9 | $11 | $87 | $85 | 97% | — | $11 – $183 |
| 10 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $88 | $89 | $3 | 3% | — | $88 – $96 |
| 12 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $63 | $66 | $4 | 6% | — | $63 – $71 |
| 13 | First Health professional · fee schedule · both | 3 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Medicaid facility · case rate · outpatient | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 15 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Bcbs Nc facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Bcbs Nv fee schedule · outpatient | 1 | $126 | $126 | $23 | 18% | — | $103 – $149 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | WellCare facility · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
← Hospitals reporting HCPCS S0341 · Snapshot 20261112T181611Z-3fa9fb76