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
Hab prevo waiver per 15
Low
$0
Average
$13
Median
$11
High
$47
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
7 payers; the 90th percentile is 71.3× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms | 11 | $17 | $16 | $4 | 24% | — | $0 – $17 |
| 2 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $18 | $18 | $0 | 1% | — | $17 – $18 |
| 3 | UnitedHealthcare fee schedule · inpatient · +2 other terms | 5 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Aetna facility · fee schedule · outpatient · +2 other terms | 4 | $13 | $12 | $3 | 23% | — | $5 – $13 |
| 5 | Anthem facility · fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 6 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS T2047 · Snapshot 20261113T090226Z-3ce6c0b8