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
Transportation costs to and
Low
$0
Average
$21
Median
$8
High
$104
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 4128.7× 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 | Aetna fee schedule · outpatient · +5 other terms | 20 | $0 | $0 | $0 | 100% | — | $0 – $0 |
| 2 | Wellmark fee schedule · both | 13 | $104 | $104 | — | — | — | $104 – $104 |
| 3 | Blue Cross Blue Shield professional · fee schedule · both · +3 other terms | 10 | $22 | $21 | $1 | 7% | — | $20 – $23 |
| 4 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Humana fee schedule · inpatient · +1 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Anthem professional · fee schedule · both · +1 other terms | 3 | $20 | $21 | $1 | 5% | — | $20 – $22 |
| 7 | First Health professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Bcbs Vt professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Cigna fee schedule · both | 1 | $26 | $26 | — | — | — | $26 – $26 |
← Hospitals reporting HCPCS S9992 · Snapshot 20261113T090226Z-3ce6c0b8