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
Deluxe lens feature
Low
$0
Average
$28
Median
$23
High
$113
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 44.9× 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 | 28 | $38 | $54 | $45 | 84% | — | $9 – $134 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 22 | $91 | $79 | $117 | 147% | — | $16 – $507 |
| 3 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $29 | $31 | $7 | 23% | — | $20 – $49 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $29 | $31 | $7 | 23% | — | $20 – $50 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 15 | $29 | $31 | $7 | 23% | — | $20 – $49 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 15 | $29 | $32 | $7 | 23% | — | $20 – $50 |
| 7 | Wellmark fee schedule · both | 13 | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $47 | $36 | $20 | 55% | — | $16 – $59 |
| 9 | Optum facility · case rate · outpatient · +1 other terms | 11 | $27 | $30 | $7 | 22% | — | $24 – $44 |
| 10 | Cigna professional · fee schedule · outpatient · +4 other terms | 10 | $6 | $12 | $12 | 103% | — | $6 – $40 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $18 | $18 | — | — | — | $18 – $18 |
| 12 | Humana fee schedule · inpatient · +2 other terms | 5 | $17 | $17 | — | — | — | $17 – $17 |
| 13 | First Health professional · fee schedule · both | 3 | $19 | $19 | — | — | — | $19 – $19 |
| 14 | Bcbs Vt professional · fee schedule · outpatient | 2 | $114 | $113 | $38 | 34% | — | $38 – $166 |
| 15 | Bcbs Ca percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Healthpartners facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
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