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
Intro Any Hemostatic Agent/Pack Vag Hemrrg Spx
Low
$144
Average
$666
Median
$380
High
$6.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 6.4× 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 | Humana fee schedule · outpatient · +27 other terms | 365 | $202 | $404 | $909 | 225% | 1–10 | $43 – $12.8k |
| 2 | Carefirst fee schedule · both · +8 other terms | 5 | $1.0k | $1.0k | $6 | 1% | 1–10 | $1.0k – $1.1k |
| 3 | Bcbs Ms fee schedule · outpatient | 4 | $371 | $371 | $46 | 13% | 1–10 | $324 – $417 |
| 4 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 526 | $220 | $743 | $1.5k | 197% | — | $1 – $17.9k |
| 5 | Aetna fee schedule · outpatient · +29 other terms | 471 | $226 | $1.3k | $3.4k | 267% | — | $29 – $33.6k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 363 | $348 | $868 | $1.7k | 201% | — | $1 – $18.0k |
| 7 | Cigna case rate · outpatient · +24 other terms | 300 | $3.1k | $4.6k | $6.2k | 134% | — | $189 – $40.7k |
| 8 | Molina fee schedule · outpatient · +24 other terms | 209 | $167 | $165 | $177 | 107% | — | $71 – $1.6k |
| 9 | WellCare fee schedule · outpatient · +19 other terms | 160 | $203 | $310 | $560 | 181% | — | $69 – $4.3k |
| 10 | Oscar case rate · outpatient · +19 other terms | 137 | $2.6k | $2.7k | $718 | 27% | — | $315 – $7.5k |
| 11 | Anthem fee schedule · outpatient · +20 other terms | 125 | $232 | $399 | $639 | 160% | — | $68 – $6.3k |
| 12 | Kaiser fee schedule · outpatient · +19 other terms | 102 | $282 | $440 | $652 | 148% | — | $25 – $4.3k |
| 13 | Ambetter fee schedule · outpatient · +16 other terms | 80 | $380 | $424 | $344 | 81% | — | $101 – $2.3k |
| 14 | Aetna Better Health fee schedule · outpatient · +14 other terms | 71 | $89 | $104 | $42 | 40% | — | $78 – $367 |
| 15 | Devoted fee schedule · outpatient · +14 other terms | 65 | $202 | $195 | $32 | 16% | — | $112 – $227 |
| 16 | MultiPlan fee schedule · outpatient · +22 other terms | 55 | $320 | $425 | $548 | 129% | — | $140 – $7.3k |
| 17 | Optum fee schedule · outpatient · +20 other terms | 55 | $184 | $225 | $129 | 57% | — | $118 – $746 |
| 18 | Caresource fee schedule · outpatient · +14 other terms | 44 | $196 | $441 | $976 | 221% | — | $70 – $4.3k |
| 19 | Healthcare Highways case rate · outpatient · +3 other terms | 39 | $5.8k | $6.6k | $5.1k | 77% | — | $2.1k – $14.6k |
| 20 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $933 | $89 | 9% | — | $302 – $948 |
| 21 | Amerihealth Caritas case rate · outpatient · +9 other terms | 33 | $370 | $1.8k | $1.4k | 77% | — | $350 – $3.3k |
| 22 | Clover fee schedule · outpatient · +10 other terms | 33 | $225 | $741 | $1.3k | 179% | — | $104 – $4.3k |
| 23 | Tricare fee schedule · outpatient · +18 other terms | 32 | $183 | $814 | $1.6k | 203% | — | $136 – $5.1k |
| 24 | Phcs fee schedule · outpatient · +14 other terms | 31 | $991 | $1.4k | $1.4k | 99% | — | $264 – $4.1k |
| 25 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 29 | $74 | $139 | $63 | 45% | — | $74 – $211 |
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