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
Ibs Neutrophil Gelatn Lipocaln
Low
$8
Average
$222
Median
$67
High
$3.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 14.6× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem fee schedule · outpatient · +27 other terms | 237 | $20 | $29 | $34 | 116% | 71–341 | $3 – $289 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +33 other terms | 573 | $26 | $56 | $71 | 127% | 65–146 | $1 – $899 |
| 3 | Bcbs Mt fee schedule · outpatient · +1 other terms | 1 | $32 | $32 | — | — | 56 | $32 – $32 |
| 4 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 850 | $14 | $25 | $49 | 195% | 51–510 | $1 – $567 |
| 5 | Aetna fee schedule · outpatient · +33 other terms | 773 | $18 | $83 | $261 | 315% | 33–330 | $0 – $8.4k |
| 6 | Caresource fee schedule · outpatient · +16 other terms | 104 | $15 | $42 | $60 | 143% | 27–54 | $1 – $277 |
| 7 | Cigna fee schedule · outpatient · +27 other terms | 528 | $31 | $42 | $53 | 128% | 16–160 | $1 – $922 |
| 8 | Healthpartners fee schedule · outpatient · +12 other terms | 27 | $43 | $40 | $8 | 20% | 5–50 | $14 – $48 |
| 9 | Humana fee schedule · outpatient · +29 other terms | 563 | $14 | $34 | $67 | 195% | 3–30 | $1 – $539 |
| 10 | Bcbs Al facility · other · outpatient · +5 other terms | 4 | $17 | $18 | $2 | 11% | 2–20 | $16 – $21 |
| 11 | Superior Healthplan fee schedule · outpatient · +6 other terms | 64 | $15 | $48 | $26 | 54% | 1–10 | $12 – $210 |
| 12 | Molina fee schedule · outpatient · +31 other terms | 312 | $16 | $18 | $11 | 59% | — | $1 – $196 |
| 13 | WellCare fee schedule · outpatient · +21 other terms | 309 | $15 | $23 | $28 | 121% | — | $10 – $279 |
| 14 | Devoted fee schedule · outpatient · +16 other terms | 186 | $14 | $14 | $0 | 2% | — | $14 – $16 |
| 15 | Oscar fee schedule · outpatient · +18 other terms | 166 | $27 | $30 | $10 | 34% | — | $14 – $43 |
| 16 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 147 | $14 | $15 | $2 | 13% | — | $8 – $24 |
| 17 | Kaiser fee schedule · outpatient · +20 other terms | 132 | $15 | $24 | $31 | 127% | — | $1 – $391 |
| 18 | Ambetter facility · fee schedule · outpatient · +19 other terms | 129 | $25 | $26 | $5 | 19% | — | $14 – $36 |
| 19 | MultiPlan fee schedule · outpatient · +21 other terms | 123 | $95 | $176 | $172 | 98% | — | $1 – $956 |
| 20 | Tricare facility · fee schedule · outpatient · +19 other terms | 123 | $14 | $20 | $36 | 177% | — | $5 – $309 |
| 21 | Aetna Better Health fee schedule · outpatient · +19 other terms | 114 | $13 | $10 | $4 | 37% | — | $6 – $15 |
| 22 | Highmark facility · fee schedule · outpatient · +18 other terms | 76 | $26 | $58 | $52 | 90% | — | $9 – $196 |
| 23 | First Health fee schedule · outpatient · +17 other terms | 74 | $37 | $67 | $116 | 173% | — | $10 – $1.0k |
| 24 | Optum fee schedule · outpatient · +22 other terms | 74 | $14 | $22 | $39 | 182% | — | $14 – $555 |
| 25 | Medicaid facility · fee schedule · outpatient · +16 other terms | 61 | $14 | $15 | $4 | 26% | — | $6 – $38 |
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