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
HC MOXI B 7-RT
Low
$161
Average
$1.5k
Median
$1.4k
High
$11.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 3.4× 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 | Aetna fee schedule · outpatient · +15 other terms | 31 | $1.6k | $3.0k | $3.6k | 122% | — | $131 – $12.0k |
| 2 | UnitedHealthcare fee schedule · both · +19 other terms | 29 | $2.5k | $2.5k | $210 | 8% | — | $1.1k – $3.2k |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +15 other terms | 24 | $1.5k | $2.1k | $2.0k | 93% | — | $647 – $15.5k |
| 4 | Molina facility · case rate · outpatient · +12 other terms | 18 | $1.2k | $1.7k | $575 | 34% | — | $700 – $2.9k |
| 5 | Medcost professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 17 | $1.3k | $1.5k | $517 | 34% | — | $713 – $3.2k |
| 6 | Oscar professional · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 17 | $1.3k | $1.3k | $588 | 46% | — | $163 – $3.2k |
| 7 | Anthem facility · case rate · outpatient · +15 other terms | 15 | $1.2k | $1.3k | $269 | 21% | — | $794 – $2.0k |
| 8 | Caresource facility · case rate · outpatient · +8 other terms | 15 | $1.2k | $1.3k | $263 | 21% | — | $794 – $2.0k |
| 9 | Cigna facility · fee schedule · outpatient · +14 other terms | 14 | $285 | $558 | $645 | 116% | — | $150 – $5.2k |
| 10 | Sanford Health Plan professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 14 | $1.3k | $1.5k | $476 | 32% | — | $713 – $2.4k |
| 11 | Ucare professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 14 | $1.3k | $1.5k | $579 | 38% | — | $563 – $3.4k |
| 12 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $1.2k | $1.2k | $409 | 34% | — | $646 – $1.6k |
| 13 | Optum facility · case rate · outpatient · +9 other terms | 11 | $1.1k | $1.2k | $236 | 20% | — | $992 – $1.8k |
| 14 | Highmark fee schedule · outpatient · +6 other terms | 10 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 15 | Medica fee schedule · both · +11 other terms | 10 | $3.0k | $2.9k | $845 | 29% | — | $458 – $3.7k |
| 16 | Aetna Better Health professional · fee schedule · both · +10 other terms | 8 | $0 | $1.1k | $895 | 84% | — | $0 – $1.9k |
| 17 | Bcbs Il professional · fee schedule · both | 8 | $936 | $1.1k | $1.7k | 151% | — | $0 – $3.7k |
| 18 | First Health professional · fee schedule · both · +11 other terms | 8 | $0 | $639 | $825 | 129% | — | $0 – $1.7k |
| 19 | WellCare professional · fee schedule · both · +5 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Humana professional · fee schedule · both · +15 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Kaiser other · both · +5 other terms | 5 | $1.5k | $1.5k | $503 | 34% | — | $738 – $2.3k |
| 22 | Devoted facility · fee schedule · outpatient · +2 other terms | 4 | $492 | $553 | $258 | 47% | — | $150 – $1.2k |
| 23 | Tricare facility · fee schedule · outpatient · +5 other terms | 4 | $1.8k | $1.7k | $839 | 49% | — | $570 – $3.2k |
| 24 | Ambetter professional · fee schedule · both · +5 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Amerihealth Caritas professional · fee schedule · outpatient · +4 other terms | 3 | $486 | $487 | $9 | 2% | — | $478 – $497 |
← Hospitals reporting HCPCS V5257 · Snapshot 20261111T120946Z-9134e7f7