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
Pt or manip for maint
Low
$0
Average
$39
Median
$33
High
$96
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 3.8× 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 facility · fee schedule · outpatient · +6 other terms | 29 | $65 | $63 | $55 | 87% | — | $0 – $189 |
| 2 | Molina facility · case rate · outpatient · +5 other terms | 29 | $27 | $27 | $7 | 26% | — | $19 – $48 |
| 3 | Aetna fee schedule · outpatient · +8 other terms | 24 | $34 | $62 | $57 | 91% | — | $27 – $268 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +8 other terms | 18 | $28 | $30 | $8 | 27% | — | $19 – $49 |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $28 | $31 | $7 | 23% | — | $19 – $48 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $29 | $31 | $7 | 23% | — | $19 – $49 |
| 7 | Cigna facility · fee schedule · outpatient · +4 other terms | 13 | $4 | $28 | $23 | 82% | — | $4 – $76 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 13 | $25 | $27 | $7 | 26% | — | $18 – $43 |
| 9 | Wellmark fee schedule · both · +2 other terms | 13 | $60 | $59 | $4 | 7% | — | $35 – $60 |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $67 | $50 | $29 | 57% | — | $21 – $83 |
| 11 | Highmark fee schedule · outpatient · +2 other terms | 11 | $33 | $33 | $4 | 11% | — | $30 – $72 |
| 12 | Humana fee schedule · outpatient · +4 other terms | 9 | $27 | $33 | $6 | 20% | — | $27 – $40 |
| 13 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $28 | $28 | — | — | — | $28 – $28 |
| 14 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $21 | $21 | $1 | 3% | — | $21 – $23 |
| 15 | First Health professional · fee schedule · both | 3 | $30 | $30 | — | — | — | $30 – $30 |
| 16 | Kaiser fee schedule · both | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 17 | Medicaid facility · case rate · outpatient | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | Bcbs Il professional · fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 19 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs Vt professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 21 | Healthpartners facility · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 22 | MultiPlan facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 23 | WellCare facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Hospitals reporting HCPCS S8990 · Snapshot 20261113T090226Z-3ce6c0b8