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
N-ET; stretcher van, mileage
Low
$0
Average
$12
Median
$2
High
$169
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 5.1× 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 · +6 other terms | 20 | $2 | $5 | $5 | 95% | — | $2 – $19 |
| 2 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $8 | $6 | $3 | 57% | — | $2 – $10 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 11 | $2 | $2 | $1 | 23% | — | $0 – $2 |
| 4 | Highmark fee schedule · outpatient · +2 other terms | 10 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Medica fee schedule · both · +1 other terms | 9 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Ucare fee schedule · both · +1 other terms | 9 | $2 | $2 | $0 | 5% | — | $2 – $3 |
| 7 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Humana fee schedule · inpatient · +1 other terms | 5 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | UnitedHealthcare fee schedule · inpatient · +4 other terms | 5 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | First Health professional · fee schedule · both | 3 | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Anthem facility · fee schedule · outpatient | 2 | $2 | $2 | $1 | 32% | — | $1 – $2 |
| 12 | Cigna fee schedule · both · +2 other terms | 2 | $3 | $3 | $2 | 52% | — | $1 – $5 |
| 13 | Medcost percent of total billed charges · bothfrom % of charges | 2 | $2 | $2 | $0 | 5% | — | $2 – $2 |
| 14 | MultiPlan percent of total billed charges · bothfrom % of charges | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 15 | Optum facility · fee schedule · outpatient | 2 | $4 | $4 | $0 | 7% | — | $4 – $4 |
| 16 | WellCare percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Healthpartners facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
← Hospitals reporting HCPCS T2049 · Snapshot 20261113T090226Z-3ce6c0b8