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
Serv asmnt/care plan waiver
Low
$0
Average
$182
Median
$134
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 24.8× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +5 other terms | 20 | $9 | $160 | $311 | 194% | — | $9 – $1.2k |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms | 15 | $333 | $307 | $148 | 48% | — | $0 – $691 |
| 3 | Medica fee schedule · both · +1 other terms | 9 | $174 | $174 | — | — | — | $174 – $174 |
| 4 | Ucare fee schedule · both · +1 other terms | 9 | $179 | $179 | $9 | 5% | — | $168 – $190 |
| 5 | Bcbs Mn fee schedule · both · +1 other terms | 8 | $190 | $190 | — | — | — | $190 – $190 |
| 6 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 6 | $62 | $73 | $25 | 34% | — | $62 – $128 |
| 8 | Humana fee schedule · inpatient · +1 other terms | 5 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Cigna facility · fee schedule · outpatient | 4 | $37 | $39 | $12 | 30% | — | $27 – $64 |
| 10 | First Health professional · fee schedule · both | 3 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Molina facility · fee schedule · outpatient | 3 | $200 | $223 | $32 | 14% | — | $200 – $268 |
| 12 | Anthem facility · fee schedule · outpatient | 2 | $162 | $162 | $12 | 8% | — | $150 – $174 |
| 13 | Optum facility · fee schedule · outpatient | 2 | $70 | $70 | $5 | 7% | — | $65 – $74 |
| 14 | Amerihealth Caritas professional · fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 15 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Bcbs Vt professional · fee schedule · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
← Hospitals reporting HCPCS T2024 · Snapshot 20261113T090226Z-3ce6c0b8