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
PASRR Level II
Low
$0
Average
$218
Median
$154
High
$436
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 3.4× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +5 other terms | 20 | $119 | $323 | $325 | 100% | — | $119 – $1.2k |
| 2 | Medica fee schedule · both · +1 other terms | 9 | $400 | $400 | — | — | — | $400 – $400 |
| 3 | Ucare fee schedule · both · +1 other terms | 9 | $410 | $411 | $20 | 5% | — | $387 – $436 |
| 4 | Bcbs Mn fee schedule · both · +1 other terms | 8 | $436 | $436 | — | — | — | $436 – $436 |
| 5 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $122 | $122 | — | — | — | $122 – $122 |
| 6 | Humana fee schedule · inpatient · +1 other terms | 5 | $119 | $119 | — | — | — | $119 – $119 |
| 7 | First Health professional · fee schedule · both | 3 | $131 | $131 | — | — | — | $131 – $131 |
| 8 | Anthem facility · fee schedule · outpatient · +1 other terms | 2 | $232 | $232 | $168 | 72% | — | $64 – $400 |
| 9 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Bcbs Vt professional · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
← Hospitals reporting HCPCS T2011 · Snapshot 20261113T090226Z-3ce6c0b8