RC 434
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
EVALUATION OR RE-EVALUATION
Low
$73
Average
$252
Median
$228
High
$599
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 payers; the 90th percentile is 3.8× 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 | Cigna case rate · outpatient · +29 other terms | 163 | $226 | $261 | $101 | 39% | 495–522 | $1 – $574 |
| 2 | Molina fee schedule · outpatient · +27 other terms | 79 | $90 | $148 | $172 | 116% | 257–302 | $1 – $1.1k |
| 3 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 288 | $102 | $178 | $472 | 264% | 243–369 | $1 – $25.9k |
| 4 | Bcbs In fee schedule · both | 11 | $184 | $186 | $20 | 11% | 105–357 | $131 – $194 |
| 5 | Bcbs Al facility · other · outpatient · +2 other terms | 6 | $43 | $43 | $13 | 30% | 102–120 | $20 – $95 |
| 6 | Anthem fee schedule · outpatient · +28 other terms | 109 | $117 | $169 | $136 | 81% | 97–187 | $26 – $2.1k |
| 7 | Tricare facility · fee schedule · outpatient · +15 other terms | 102 | $88 | $90 | $34 | 38% | 86–95 | $58 – $550 |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +30 other terms | 206 | $111 | $185 | $790 | 428% | 64–217 | $3 – $13.1k |
| 9 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $116 | $116 | $24 | 21% | 47–56 | $99 – $150 |
| 10 | Humana fee schedule · outpatient · +27 other terms | 181 | $95 | $98 | $76 | 78% | 40–157 | $1 – $767 |
| 11 | WellCare fee schedule · outpatient · +21 other terms | 94 | $92 | $93 | $32 | 35% | 15–42 | $8 – $323 |
| 12 | Medica fee schedule · outpatient · +20 other terms | 38 | $182 | $209 | $88 | 42% | 6–60 | $33 – $723 |
| 13 | Sanford Health Plan fee schedule · outpatient · +11 other terms | 22 | $138 | $137 | $86 | 63% | 3–30 | $69 – $617 |
| 14 | Wellmark facility · fee schedule · both · +13 other terms | 35 | $146 | $191 | $131 | 69% | 2–20 | $47 – $674 |
| 15 | Florida Blue percent of total billed charges · bothfrom % of charges | 1 | $493 | $493 | $229 | 46% | 2–20 | $108 – $1.2k |
| 16 | Caresource fee schedule · outpatient · +19 other terms | 45 | $105 | $156 | $50 | 32% | 1–10 | $1 – $447 |
| 17 | Aetna facility · fee schedule · outpatient · +32 other terms | 250 | $90 | $110 | $91 | 83% | — | $11 – $1.1k |
| 18 | Devoted facility · fee schedule · outpatient · +16 other terms | 76 | $89 | $91 | $16 | 18% | — | $64 – $147 |
| 19 | MultiPlan fee schedule · outpatient · +17 other terms | 76 | $271 | $272 | $179 | 66% | — | $33 – $1.1k |
| 20 | Kaiser fee schedule · outpatient · +21 other terms | 69 | $156 | $176 | $144 | 81% | — | $4 – $908 |
| 21 | Medicaid facility · fee schedule · outpatient · +15 other terms | 62 | $82 | $87 | $22 | 26% | — | $12 – $219 |
| 22 | Medicare facility · fee schedule · outpatient · +16 other terms | 59 | $92 | $89 | $20 | 23% | — | $15 – $319 |
| 23 | Ambetter fee schedule · both · +18 other terms | 56 | $159 | $146 | $65 | 45% | — | $0 – $480 |
| 24 | Healthcare Highways case rate · outpatient · +5 other terms | 43 | $219 | $256 | $63 | 25% | — | $211 – $364 |
| 25 | Aetna Better Health fee schedule · outpatient · +17 other terms | 38 | $68 | $83 | $39 | 47% | — | $1 – $349 |
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