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
Description Not Available
Low
$0
Average
$599
Median
$15
High
$8.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 99.9× 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 | Cigna fee schedule · outpatient · +5 other terms | 97 | $52 | $59 | $27 | 45% | — | $5 – $139 |
| 2 | Molina facility · case rate · outpatient · +5 other terms | 29 | $14 | $13 | $6 | 48% | — | $6 – $28 |
| 3 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 18 | $17 | $17 | $7 | 42% | — | $6 – $36 |
| 4 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $17 | $18 | $4 | 23% | — | $11 – $28 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $17 | $18 | $4 | 23% | — | $11 – $29 |
| 6 | Optum facility · case rate · outpatient | 13 | $15 | $15 | $5 | 35% | — | $6 – $25 |
| 7 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $10.7k | $8.0k | $4.6k | 57% | — | $3.4k – $13.4k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 12 | $8 | $225 | $877 | 390% | — | $0 – $4.1k |
| 9 | Highmark fee schedule · outpatient · +2 other terms | 11 | $405 | $400 | $43 | 11% | — | $25 – $405 |
| 10 | Humana facility · case rate · outpatient · +2 other terms | 8 | $6 | $6 | $0 | 5% | — | $6 – $7 |
| 11 | Aetna fee schedule · outpatient · +4 other terms | 7 | $14 | $144 | $308 | 215% | — | $0 – $841 |
| 12 | Aetna Better Health facility · case rate · outpatient | 7 | $7 | $7 | $0 | 1% | — | $7 – $7 |
| 13 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $7 | $7 | $0 | 3% | — | $7 – $7 |
| 14 | Wellmark facility · case rate · outpatient | 3 | $24 | $21 | $7 | 32% | — | $10 – $27 |
| 15 | Medicaid facility · case rate · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 16 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Kaiser fee schedule · outpatient | 1 | $16 | $16 | $21 | 135% | — | $5 – $57 |
| 18 | WellCare facility · case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Hospitals reporting HCPCS S3722 · Snapshot 20261112T181611Z-3fa9fb76