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 admin- not oral/inject
Low
$0
Average
$55
Median
$45
High
$220
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 6.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms | 30 | $81 | $109 | $91 | 83% | — | $27 – $442 |
| 2 | Molina facility · case rate · outpatient · +5 other terms | 29 | $39 | $43 | $11 | 25% | — | $29 – $74 |
| 3 | Aetna fee schedule · outpatient · +7 other terms | 25 | $11 | $38 | $55 | 143% | — | $8 – $299 |
| 4 | UnitedHealthcare facility · case rate · outpatient · +7 other terms | 18 | $42 | $45 | $11 | 24% | — | $29 – $71 |
| 5 | Anthem facility · case rate · outpatient · +8 other terms | 15 | $41 | $45 | $11 | 23% | — | $28 – $70 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $42 | $45 | $10 | 23% | — | $28 – $71 |
| 7 | Optum facility · case rate · outpatient · +3 other terms | 13 | $37 | $41 | $10 | 24% | — | $31 – $63 |
| 8 | Cigna facility · fee schedule · outpatient · +5 other terms | 12 | $3 | $3 | $1 | 33% | — | $3 – $6 |
| 9 | Humana fee schedule · outpatient · +5 other terms | 9 | $8 | $37 | $32 | 87% | — | $8 – $74 |
| 10 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 7 | $36 | $36 | $1 | 3% | — | $36 – $39 |
| 12 | First Health professional · fee schedule · both · +1 other terms | 3 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | Wellmark facility · case rate · outpatient | 3 | $125 | $109 | $34 | 32% | — | $51 – $138 |
| 14 | Medicaid facility · case rate · outpatient | 2 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Bcbs Vt professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Highmark fee schedule · outpatient | 1 | $68 | $68 | $28 | 42% | — | $48 – $107 |
| 18 | Magellan fee schedule · outpatient | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 19 | MultiPlan percent of total billed charges · bothfrom % of charges · +1 other terms | 1 | $46 | $46 | $18 | 38% | — | $28 – $63 |
| 20 | Oscar percent of total billed charges · bothfrom % of charges · +2 other terms | 1 | $29 | $29 | $11 | 38% | — | $18 – $41 |
| 21 | WellCare fee schedule · outpatient · +1 other terms | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Hospitals reporting HCPCS T1503 · Snapshot 20261112T181611Z-3fa9fb76