RC 419
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.
Generation details were not recorded for this description.
Original text from hospital filings
HC PR Orient/Initial Eval W/6 Min Walk
Low
$39
Average
$2.5k
Median
$234
High
$31.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
47 payers; the 90th percentile is 87.6× 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 | Anthem fee schedule · outpatient · +18 other terms | 37 | $89 | $316 | $357 | 113% | 259–619 | $12 – $2.1k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 43 | $229 | $264 | $552 | 210% | 45–126 | $1 – $11.1k |
| 3 | Kaiser fee schedule · outpatient · +8 other terms | 26 | $114 | $209 | $250 | 120% | 11 | $1 – $1.5k |
| 4 | Medicare fee schedule · outpatient · +8 other terms | 8 | $32 | $31 | $9 | 27% | 1–10 | $1 – $64 |
| 5 | Healthpartners facility · case rate · both · +2 other terms | 5 | $379 | $442 | $86 | 19% | 1–10 | $369 – $580 |
| 6 | UnitedHealthcare case rate · outpatient · +24 other terms | 179 | $482 | $393 | $296 | 75% | — | $25 – $1.8k |
| 7 | Cigna case rate · outpatient · +21 other terms | 45 | $327 | $335 | $77 | 23% | — | $147 – $574 |
| 8 | Healthcare Highways case rate · outpatient · +2 other terms | 43 | $219 | $256 | $63 | 25% | — | $211 – $364 |
| 9 | Aetna fee schedule · outpatient · +21 other terms | 39 | $67 | $73 | $49 | 67% | — | $1 – $489 |
| 10 | Humana case rate · outpatient · +19 other terms | 38 | $235 | $204 | $87 | 43% | — | $61 – $313 |
| 11 | MultiPlan fee schedule · inpatient · +11 other terms | 22 | $290 | $393 | $291 | 74% | — | $66 – $1.2k |
| 12 | WellCare facility · fee schedule · outpatient · +12 other terms | 18 | $43 | $147 | $163 | 110% | — | $11 – $786 |
| 13 | Ambetter other · outpatient · +12 other terms | 14 | $161 | $237 | $623 | 263% | — | $63 – $4.9k |
| 14 | First Health fee schedule · inpatient · +7 other terms | 14 | $317 | $379 | $287 | 76% | — | $55 – $1.2k |
| 15 | Highmark facility · fee schedule · outpatient · +6 other terms | 12 | $143 | $144 | $195 | 135% | — | $24 – $1.1k |
| 16 | Molina fee schedule · outpatient · +13 other terms | 12 | $48 | $59 | $35 | 60% | — | $1 – $198 |
| 17 | Oscar other · both · +6 other terms | 12 | $807 | $699 | $194 | 28% | — | $343 – $808 |
| 18 | Clover fee schedule · outpatient · +4 other terms | 11 | $109 | $81 | $71 | 88% | — | $30 – $246 |
| 19 | Tricare fee schedule · outpatient · +8 other terms | 8 | $32 | $32 | $4 | 13% | — | $28 – $38 |
| 20 | Caresource fee schedule · outpatient · +10 other terms | 7 | $33 | $49 | $40 | 83% | — | $24 – $202 |
| 21 | Ucare case rate · outpatient · +6 other terms | 7 | $26 | $25 | $0 | 1% | — | $25 – $26 |
| 22 | Aetna Better Health facility · per diem · inpatient · +4 other terms | 6 | $2.6k | $2.6k | $464 | 18% | — | $2.2k – $3.6k |
| 23 | Carefirst fee schedule · both | 5 | $157 | $157 | $5 | 3% | — | $148 – $164 |
| 24 | Medcost facility · percent of total billed charges · bothfrom % of charges · +3 other terms | 5 | $36 | $36 | $0 | 1% | — | $35 – $36 |
| 25 | Medica per diem · inpatient · +7 other terms | 5 | $109 | $296 | $459 | 155% | — | $77 – $1.7k |
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