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
Nutrition class
Low
$0
Average
$73
Median
$64
High
$213
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
34 payers; the 90th percentile is 7.2× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms | 41 | $24 | $32 | $19 | 59% | — | $15 – $119 |
| 2 | Molina facility · case rate · outpatient · +5 other terms | 29 | $38 | $39 | $11 | 27% | — | $27 – $69 |
| 3 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $67 | $55 | $14 | 25% | — | $18 – $72 |
| 4 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges | 25 | $20 | $23 | $8 | 34% | — | $10 – $45 |
| 5 | Aetna fee schedule · outpatient · +10 other terms | 24 | $32 | $66 | $70 | 107% | — | $15 – $275 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +11 other terms | 19 | $41 | $63 | $63 | 100% | — | $27 – $248 |
| 7 | Anthem facility · case rate · outpatient · +9 other terms | 15 | $40 | $44 | $10 | 23% | — | $28 – $69 |
| 8 | Caresource facility · case rate · outpatient · +5 other terms | 15 | $41 | $44 | $10 | 23% | — | $28 – $70 |
| 9 | Ambetter facility · percent of total billed charges · outpatientfrom % of charges | 13 | $81 | $81 | — | — | — | $81 – $81 |
| 10 | Optum facility · case rate · outpatient · +3 other terms | 13 | $37 | $39 | $10 | 27% | — | $26 – $62 |
| 11 | Wellmark fee schedule · both · +1 other terms | 13 | $34 | $34 | — | — | — | $34 – $34 |
| 12 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $124 | $87 | $59 | 68% | — | $23 – $155 |
| 13 | Humana fee schedule · outpatient · +8 other terms | 9 | $22 | $39 | $19 | 49% | — | $22 – $61 |
| 14 | MultiPlan percent of total billed charges · bothfrom % of charges · +3 other terms | 9 | $215 | $217 | $23 | 11% | — | $105 – $432 |
| 15 | Aetna Better Health fee schedule · inpatient · +4 other terms | 7 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Amerihealth Caritas facility · case rate · outpatient · +3 other terms | 7 | $30 | $30 | $1 | 3% | — | $30 – $32 |
| 17 | Phcs facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 5 | $126 | $123 | $38 | 31% | — | $51 – $176 |
| 18 | Kaiser percent of total billed charges · outpatientfrom % of charges · +2 other terms | 4 | $64 | $98 | $92 | 94% | — | $25 – $274 |
| 19 | First Health professional · fee schedule · both · +3 other terms | 3 | $24 | $24 | — | — | — | $24 – $24 |
| 20 | Medcost facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 3 | $150 | $150 | $30 | 20% | — | $120 – $180 |
| 21 | Medicaid fee schedule · outpatient · +1 other terms | 3 | $73 | $142 | $115 | 81% | — | $49 – $304 |
| 22 | Highmark facility · fee schedule · outpatient · +1 other terms | 2 | $15 | $15 | $2 | 11% | — | $13 – $16 |
| 23 | Medical Mutual facility · other · outpatient · +2 other terms | 2 | $14 | $14 | $0 | 3% | — | $13 – $14 |
| 24 | Tricare facility · fee schedule · outpatient · +2 other terms | 2 | $36 | $36 | — | — | — | $36 – $36 |
| 25 | Bcbs Id professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Hospitals reporting HCPCS S9452 · Snapshot 20261112T181611Z-3fa9fb76