Instilling medication into kidney drainage tube

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Instlj Ther Agent Renal Pelvis&/Ureter via Tub

Payers reporting CPT 50391

Payer pricing summary

Low

$87

Average

$765

Median

$439

High

$6.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +31 other terms	470	$289	$1.2k	$2.2k	185%	1–10	$1 – $21.3k
2	UnitedHealthcare fee schedule · outpatient · +33 other terms	523	$272	$810	$1.5k	186%	—	$1 – $17.9k
3	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	345	$407	$774	$1.5k	198%	—	$1 – $15.6k
4	Humana fee schedule · outpatient · +26 other terms	345	$243	$400	$976	244%	—	$1 – $12.8k
5	Cigna case rate · outpatient · +23 other terms	308	$3.0k	$4.6k	$6.2k	133%	—	$1 – $40.7k
6	Molina fee schedule · outpatient · +23 other terms	220	$183	$162	$192	118%	—	$1 – $1.5k
7	WellCare fee schedule · outpatient · +17 other terms	163	$246	$339	$546	161%	—	$44 – $4.3k
8	Oscar case rate · outpatient · +18 other terms	130	$2.5k	$2.7k	$725	27%	—	$380 – $7.5k
9	Anthem fee schedule · outpatient · +22 other terms	129	$286	$401	$657	164%	—	$6 – $6.3k
10	Kaiser fee schedule · outpatient · +18 other terms	97	$356	$526	$669	127%	—	$86 – $4.3k
11	Aetna Better Health fee schedule · outpatient · +14 other terms	70	$52	$79	$66	84%	—	$46 – $270
12	Ambetter facility · fee schedule · outpatient · +16 other terms	70	$442	$638	$1.1k	177%	—	$175 – $8.2k
13	Devoted fee schedule · outpatient · +13 other terms	67	$247	$235	$52	22%	—	$92 – $279
14	Caresource fee schedule · outpatient · +15 other terms	58	$264	$648	$932	144%	—	$1 – $4.3k
15	Optum fee schedule · outpatient · +20 other terms	55	$224	$269	$166	62%	—	$92 – $922
16	MultiPlan fee schedule · outpatient · +18 other terms	40	$407	$412	$94	23%	—	$140 – $1.5k
17	Healthcare Highways case rate · outpatient · +3 other terms	39	$5.8k	$6.6k	$5.1k	77%	—	$2.1k – $14.6k
18	Superior Healthplan case rate · outpatient · +3 other terms	38	$948	$934	$80	9%	—	$365 – $948
19	First Health fee schedule · outpatient · +18 other terms	35	$261	$1.1k	$2.2k	204%	—	$42 – $7.2k
20	Clover fee schedule · outpatient · +10 other terms	31	$272	$816	$1.3k	165%	—	$226 – $4.4k
21	Tricare fee schedule · outpatient · +16 other terms	29	$227	$914	$1.7k	185%	—	$82 – $5.1k
22	Cigna Healthspring fee schedule · outpatient · +8 other terms	28	$44	$136	$99	73%	—	$44 – $255
23	Medica case rate · outpatient · +14 other terms	28	$831	$1.0k	$700	68%	—	$230 – $2.9k
24	Medicare fee schedule · outpatient · +16 other terms	27	$92	$622	$1.2k	198%	—	$86 – $4.1k
25	Bcbs Tx fee schedule · outpatient · +3 other terms	26	$88	$89	$61	68%	—	$38 – $246

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