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
Compl GIFT case rate
Low
$0
Average
$2.0k
Median
$937
High
$9.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 23.0× 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 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 76 | $9.6k | $13.6k | $8.6k | 63% | — | $0 – $36.7k |
| 2 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $1.7k | $1.7k | $713 | 41% | — | $843 – $4.5k |
| 3 | Molina facility · case rate · outpatient · +4 other terms | 29 | $232 | $279 | $154 | 55% | — | $65 – $767 |
| 4 | Humana other · outpatient · +6 other terms | 25 | $2.9k | $2.9k | $861 | 29% | — | $2.3k – $7.0k |
| 5 | Aetna fee schedule · outpatient · +6 other terms | 23 | $1.2k | $2.5k | $2.8k | 111% | — | $726 – $12.4k |
| 6 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 17 | $145 | $182 | $82 | 45% | — | $65 – $356 |
| 7 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $137 | $148 | $39 | 26% | — | $63 – $232 |
| 8 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $140 | $148 | $38 | 26% | — | $63 – $237 |
| 9 | Optum facility · case rate · outpatient · +1 other terms | 13 | $132 | $167 | $66 | 40% | — | $117 – $307 |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1.0k | $772 | $471 | 61% | — | $88 – $1.3k |
| 11 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $356 | $360 | $11 | 3% | — | $356 – $388 |
| 13 | First Health professional · fee schedule · both | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Wellmark facility · case rate · outpatient | 3 | $1.3k | $1.1k | $359 | 32% | — | $529 – $1.4k |
| 15 | Medicaid facility · case rate · outpatient | 2 | $324 | $324 | — | — | — | $324 – $324 |
| 16 | MultiPlan professional · percent of total billed charges · bothfrom % of charges | 2 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 17 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Bcbs Nc facility · fee schedule · outpatient | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 19 | Bcbs Nv fee schedule · outpatient | 1 | $1.2k | $1.2k | $533 | 45% | — | $474 – $1.8k |
| 20 | Bcbs Vt professional · fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | WellCare facility · case rate · outpatient | 1 | $324 | $324 | — | — | — | $324 – $324 |
← Hospitals reporting HCPCS S4013 · Snapshot 20261112T181611Z-3fa9fb76