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
Med record copy admin
Low
$0
Average
$10
Median
$5
High
$47
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 2044.8× 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 | Aetna fee schedule · outpatient · +14 other terms | 20 | $8 | $19 | $19 | 97% | — | $6 – $76 |
| 2 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $58 | $63 | $15 | 23% | — | $39 – $98 |
| 3 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $59 | $63 | $14 | 23% | — | $39 – $100 |
| 4 | Molina facility · case rate · outpatient · +3 other terms | 15 | $58 | $63 | $15 | 23% | — | $40 – $98 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +7 other terms | 15 | $59 | $64 | $15 | 23% | — | $40 – $100 |
| 6 | Wellmark fee schedule · both | 13 | $34 | $34 | — | — | — | $34 – $34 |
| 7 | Blue Cross Blue Shield professional · fee schedule · both · +6 other terms | 11 | $1 | $1 | $0 | 62% | — | $0 – $1 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 11 | $54 | $60 | $13 | 22% | — | $49 – $89 |
| 9 | First Health professional · fee schedule · both · +2 other terms | 8 | $0 | $3 | $4 | 129% | — | $0 – $8 |
| 10 | WellCare professional · fee schedule · both | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $8 | $8 | — | — | — | $8 – $8 |
| 12 | Bcbs Il professional · fee schedule · both | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Devoted facility · fee schedule · outpatient | 7 | $2 | $2 | $2 | 108% | — | $0 – $6 |
| 14 | Humana professional · fee schedule · both · +7 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Cigna professional · fee schedule · both · +6 other terms | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Ambetter professional · fee schedule · both · +1 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Tricare facility · fee schedule · outpatient · +2 other terms | 3 | $19 | $10 | $8 | 81% | — | $1 – $19 |
| 18 | Medical Mutual facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $5 | $5 | $4 | 92% | — | $1 – $11 |
| 19 | MultiPlan professional · fee schedule · both · +5 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Phcs professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs Id facility · fee schedule · both · +1 other terms | 1 | $4 | $4 | $1 | 27% | — | $3 – $5 |
| 22 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Bcbs Nv fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 24 | Bcbs Vt professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | Kaiser facility · fee schedule · both | 1 | $1 | $1 | $1 | 76% | — | $1 – $3 |
← Hospitals reporting HCPCS S9981 · Snapshot 20261113T090226Z-3ce6c0b8