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
Fee Schedule
Low
$3
Average
$19
Median
$12
High
$64
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 9.5× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 26 | $12 | $11 | $10 | 95% | — | $5 – $48 |
| 2 | Cigna facility · fee schedule · outpatient · +3 other terms | 3 | $6 | $7 | $4 | 52% | — | $4 – $15 |
| 3 | Highmark facility · fee schedule · outpatient | 3 | $5 | $5 | $0 | 4% | — | $5 – $6 |
| 4 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Aetna fee schedule · outpatient · +3 other terms | 2 | $21 | $21 | — | — | — | $21 – $21 |
| 6 | Anthem fee schedule · outpatient · +2 other terms | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 7 | Bcbs Ca fee schedule · outpatient · +1 other terms | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Bcbs Id professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Caresource fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 10 | Healthpartners facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Medicaid percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Medicare fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 13 | Molina facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | UnitedHealthcare percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | WellCare percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
← Hospitals reporting HCPCS S5011 · Snapshot 20261113T090226Z-3ce6c0b8