Conformity evaluation

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.

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Original text from hospital filings

Conformity Evaluation

Payers reporting HCPCS V5020

Payer pricing summary

Low

Average

$138

Median

$117

High

$853

Payer rate distribution

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#
1	Ucare professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	14	$133	$126	$46	37%	4–40	$75 – $200
2	Premera facility · percent of total billed charges · bothfrom % of charges	1	$141	$141	$24	17%	1–10	$114 – $176
3	Humana fee schedule · outpatient · +16 other terms	145	$362	$291	$131	45%	—	$40 – $428
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	48	$110	$115	$98	84%	—	$0 – $372
5	Aetna fee schedule · outpatient · +16 other terms	36	$61	$153	$135	88%	—	$20 – $451
6	UnitedHealthcare fee schedule · outpatient · +22 other terms	34	$82	$91	$61	68%	—	$1 – $243
7	Molina facility · case rate · outpatient · +13 other terms	29	$34	$33	$10	31%	—	$20 – $61
8	Medical Mutual professional · percent of total billed charges · outpatientfrom % of charges · +6 other terms	18	$143	$130	$46	36%	—	$48 – $214
9	Caresource fee schedule · outpatient · +6 other terms	16	$373	$358	$57	16%	—	$136 – $373
10	Anthem facility · case rate · outpatient · +14 other terms	15	$36	$40	$9	23%	—	$25 – $61
11	Cigna fee schedule · both · +14 other terms	15	$76	$76	$12	15%	—	$40 – $104
12	Regence fee schedule · outpatient · +6 other terms	15	$50	$62	$22	36%	—	$39 – $129
13	Sanford Health Plan professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	14	$143	$136	$47	35%	—	$95 – $194
14	Optum facility · case rate · outpatient · +9 other terms	13	$33	$35	$10	29%	—	$19 – $56
15	Oscar professional · percent of total billed charges · outpatientfrom % of charges · +5 other terms	13	$143	$135	$46	34%	—	$86 – $190
16	Wellmark fee schedule · both · +6 other terms	13	$89	$88	$9	11%	—	$50 – $99
17	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$72	$70	$19	28%	—	$37 – $90
18	Clover facility · percent of total billed charges · outpatientfrom % of charges	12	$28	$28	—	—	—	$28 – $28
19	Highmark fee schedule · outpatient · +3 other terms	11	$55	$57	$17	30%	—	$55 – $230
20	Medica fee schedule · outpatient · +10 other terms	11	$87	$86	$25	29%	—	$36 – $114
21	Aetna Better Health fee schedule · inpatient · +6 other terms	7	$41	$41	—	—	—	$41 – $41
22	Amerihealth Caritas facility · case rate · outpatient · +5 other terms	7	$22	$22	$1	3%	—	$22 – $24
23	Medicaid per diem · both · +5 other terms	7	$205	$197	$17	9%	—	$186 – $224
24	Ambetter percent of total billed charges · outpatientfrom % of charges · +3 other terms	5	$89	$68	$27	40%	—	$25 – $90
25	Tricare facility · fee schedule · outpatient · +5 other terms	5	$385	$403	$24	6%	—	$380 – $432

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