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
Res, nos waiver per diem
Low
$0
Average
$162
Median
$147
High
$415
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 20.8× 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 · +7 other terms | 19 | $15 | $117 | $208 | 177% | — | $15 – $768 |
| 2 | Ucare fee schedule · both | 9 | $327 | $327 | — | — | — | $327 – $327 |
| 3 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Humana fee schedule · inpatient · +1 other terms | 5 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | UnitedHealthcare fee schedule · inpatient · +4 other terms | 5 | $370 | $370 | — | — | — | $370 – $370 |
| 6 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 3 | $91 | $76 | $34 | 45% | — | $0 – $91 |
| 7 | First Health professional · fee schedule · both · +1 other terms | 3 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Molina facility · fee schedule · outpatient | 3 | $91 | $102 | $15 | 14% | — | $91 – $122 |
| 9 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $184 | $184 | — | — | — | $184 – $184 |
| 10 | Anthem facility · fee schedule · outpatient · +3 other terms | 2 | $150 | $150 | $150 | 100% | — | $0 – $300 |
| 11 | Cigna facility · other · outpatient · +2 other terms | 2 | $311 | $311 | — | — | — | $311 – $311 |
| 12 | Tricare facility · fee schedule · outpatient | 2 | $415 | $415 | — | — | — | $415 – $415 |
| 13 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Bcbs Vt professional · fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
← Hospitals reporting HCPCS T2033 · Snapshot 20261113T090226Z-3ce6c0b8