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
S9128
Low
$0
Average
$146
Median
$142
High
$348
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 8.4× 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 facility · fee schedule · outpatient · +6 other terms | 37 | $360 | $308 | $231 | 75% | — | $0 – $1.1k |
| 2 | Aetna fee schedule · outpatient · +7 other terms | 20 | $39 | $90 | $85 | 94% | — | $39 – $385 |
| 3 | Cigna facility · fee schedule · outpatient · +5 other terms | 13 | $603 | $366 | $200 | 55% | — | $135 – $603 |
| 4 | Wellmark fee schedule · both · +1 other terms | 13 | $67 | $69 | $15 | 22% | — | $67 – $161 |
| 5 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $270 | $258 | $114 | 44% | — | $69 – $552 |
| 6 | Medica fee schedule · both · +1 other terms | 9 | $103 | $103 | — | — | — | $103 – $103 |
| 7 | Ucare fee schedule · both · +3 other terms | 9 | $107 | $107 | $7 | 6% | — | $100 – $116 |
| 8 | Anthem professional · fee schedule · outpatient · +3 other terms | 8 | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $40 | $40 | — | — | — | $40 – $40 |
| 10 | Humana fee schedule · inpatient · +2 other terms | 5 | $39 | $39 | — | — | — | $39 – $39 |
| 11 | MultiPlan percent of total billed charges · bothfrom % of charges · +1 other terms | 5 | $307 | $307 | — | — | — | $307 – $307 |
| 12 | UnitedHealthcare fee schedule · inpatient · +5 other terms | 5 | $128 | $128 | — | — | — | $128 – $128 |
| 13 | First Health professional · fee schedule · both · +1 other terms | 3 | $42 | $42 | — | — | — | $42 – $42 |
| 14 | Highmark facility · fee schedule · outpatient | 2 | $154 | $160 | $17 | 11% | — | $136 – $172 |
| 15 | Molina facility · case rate · outpatient · +1 other terms | 2 | $161 | $161 | $8 | 5% | — | $154 – $169 |
| 16 | Optum facility · fee schedule · outpatient | 2 | $125 | $125 | $9 | 7% | — | $116 – $133 |
| 17 | Bcbs Id professional · fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 18 | Bcbs Il professional · fee schedule · both | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 19 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs Nc facility · fee schedule · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 21 | Bcbs Nv fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 22 | Bcbs Vt professional · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 23 | Healthpartners facility · fee schedule · outpatient | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 24 | WellCare percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $13 | 55% | — | $9 – $37 |
← Hospitals reporting HCPCS S9128 · Snapshot 20261111T120946Z-9134e7f7