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 DRUG SCREEN QUAN LAMOTRIGINE
Low
$8
Average
$61
Median
$48
High
$254
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 7.4× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +32 other terms | 568 | $19 | $35 | $37 | 105% | 50–194 | $1 – $292 |
| 2 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 855 | $13 | $18 | $23 | 128% | 38–227 | $1 – $560 |
| 3 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $30 | $30 | — | — | 34 | $30 – $30 |
| 4 | Molina fee schedule · outpatient · +29 other terms | 319 | $14 | $16 | $12 | 71% | 19–46 | $1 – $215 |
| 5 | Aetna fee schedule · outpatient · +31 other terms | 764 | $15 | $57 | $328 | 577% | 9–90 | $0 – $8.4k |
| 6 | Humana fee schedule · outpatient · +26 other terms | 564 | $13 | $34 | $48 | 142% | 9–90 | $1 – $560 |
| 7 | Anthem fee schedule · outpatient · +27 other terms | 241 | $16 | $25 | $26 | 104% | 7–70 | $2 – $317 |
| 8 | Ambetter fee schedule · outpatient · +18 other terms | 127 | $21 | $20 | $9 | 42% | 3–30 | $9 – $69 |
| 9 | Bcbs Al facility · other · outpatient · +5 other terms | 4 | $15 | $16 | $2 | 11% | 3–30 | $14 – $18 |
| 10 | Cigna fee schedule · outpatient · +26 other terms | 525 | $26 | $36 | $213 | 586% | 2–20 | $3 – $6.7k |
| 11 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 148 | $13 | $13 | $1 | 9% | 2–20 | $8 – $22 |
| 12 | Kaiser fee schedule · outpatient · +18 other terms | 128 | $13 | $14 | $12 | 85% | 1–10 | $1 – $132 |
| 13 | Aetna Better Health fee schedule · outpatient · +18 other terms | 117 | $13 | $13 | $6 | 46% | 1–10 | $7 – $49 |
| 14 | Caresource fee schedule · outpatient · +15 other terms | 112 | $15 | $22 | $21 | 97% | 1–10 | $1 – $119 |
| 15 | Optum fee schedule · outpatient · +19 other terms | 72 | $13 | $19 | $11 | 58% | 1–10 | $13 – $59 |
| 16 | Sanford Health Plan fee schedule · outpatient · +11 other terms | 24 | $42 | $57 | $58 | 102% | 1–10 | $13 – $250 |
| 17 | WellCare fee schedule · outpatient · +18 other terms | 321 | $14 | $16 | $8 | 53% | — | $8 – $117 |
| 18 | Devoted fee schedule · outpatient · +15 other terms | 187 | $13 | $13 | $0 | 2% | — | $13 – $14 |
| 19 | Oscar fee schedule · outpatient · +17 other terms | 168 | $26 | $28 | $9 | 34% | — | $11 – $41 |
| 20 | MultiPlan fee schedule · outpatient · +18 other terms | 114 | $62 | $82 | $83 | 101% | — | $5 – $399 |
| 21 | Tricare facility · fee schedule · outpatient · +18 other terms | 109 | $13 | $14 | $8 | 57% | — | $5 – $71 |
| 22 | First Health fee schedule · outpatient · +16 other terms | 74 | $13 | $18 | $15 | 87% | — | $5 – $68 |
| 23 | Highmark facility · fee schedule · outpatient · +17 other terms | 70 | $22 | $25 | $15 | 62% | — | $9 – $75 |
| 24 | Medicaid facility · fee schedule · outpatient · +15 other terms | 65 | $13 | $13 | $3 | 19% | — | $6 – $18 |
| 25 | Superior Healthplan fee schedule · outpatient · +6 other terms | 61 | $14 | $67 | $66 | 98% | — | $11 – $177 |
← Hospitals reporting CPT 80175 · Snapshot 20261111T120946Z-9134e7f7