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.
Generation details were not recorded for this description.
Original text from hospital filings
Fee Schedule
Low
$842
Average
$2.8k
Median
$2.0k
High
$9.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 5.5× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 32 | $1.2k | $1.4k | $837 | 59% | — | $842 – $3.2k |
| 2 | Bcbs Mn fee schedule · outpatient · +1 other terms | 7 | $2.6k | $2.7k | $882 | 33% | — | $1.4k – $3.3k |
| 3 | Tricare percent of total billed charges · bothfrom % of charges | 7 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Cigna fee schedule · both · +5 other terms | 3 | $838 | $693 | $347 | 50% | — | $108 – $990 |
| 5 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $842 | $842 | — | — | — | $842 – $842 |
| 6 | Aetna fee schedule · outpatient · +4 other terms | 2 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | Anthem facility · fee schedule · outpatient · +2 other terms | 2 | $1.6k | $1.6k | $577 | 36% | — | $1.0k – $2.2k |
| 8 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges | 2 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 9 | Molina percent of total billed charges · outpatientfrom % of charges | 2 | $9.3k | $9.3k | $4.7k | 50% | — | $4.7k – $14.0k |
| 10 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | UnitedHealthcare professional · fee schedule · outpatient · +4 other terms | 2 | $641 | $641 | — | — | — | $641 – $641 |
| 12 | Bcbs Ca fee schedule · outpatient · +1 other terms | 1 | $842 | $842 | — | — | — | $842 – $842 |
| 13 | Bcbs Id professional · fee schedule · outpatient | 1 | $842 | $842 | — | — | — | $842 – $842 |
| 14 | First Health facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Healthpartners facility · fee schedule · outpatient · +1 other terms | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Humana facility · fee schedule · both · +1 other terms | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | Medica facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | MultiPlan facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | $19 | 1% | — | $1.9k – $2.0k |
← Hospitals reporting HCPCS S1090 · Snapshot 20261113T090226Z-3ce6c0b8