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 GALACTOSE 4902CSF
Low
$6
Average
$59
Median
$28
High
$695
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 10.3× 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 | Molina fee schedule · outpatient · +20 other terms | 267 | $12 | $13 | $6 | 43% | 16–25 | $1 – $48 |
| 2 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 701 | $11 | $12 | $8 | 67% | 1–10 | $1 – $145 |
| 3 | Aetna Better Health fee schedule · outpatient · +17 other terms | 92 | $10 | $10 | $1 | 7% | 1–10 | $8 – $12 |
| 4 | Aetna fee schedule · outpatient · +23 other terms | 629 | $12 | $53 | $406 | 766% | — | $0 – $8.4k |
| 5 | Humana fee schedule · outpatient · +23 other terms | 478 | $11 | $24 | $29 | 122% | — | $1 – $150 |
| 6 | Cigna fee schedule · outpatient · +21 other terms | 442 | $22 | $28 | $23 | 80% | — | $5 – $138 |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 437 | $16 | $26 | $24 | 93% | — | $1 – $253 |
| 8 | WellCare fee schedule · outpatient · +13 other terms | 286 | $12 | $12 | $2 | 21% | — | $6 – $35 |
| 9 | Devoted fee schedule · outpatient · +10 other terms | 193 | $11 | $11 | $0 | 3% | — | $11 – $13 |
| 10 | Anthem fee schedule · outpatient · +18 other terms | 166 | $13 | $19 | $19 | 103% | — | $5 – $131 |
| 11 | Oscar fee schedule · outpatient · +14 other terms | 163 | $22 | $24 | $8 | 33% | — | $11 – $34 |
| 12 | Cigna Healthspring fee schedule · outpatient · +5 other terms | 136 | $12 | $11 | $1 | 8% | — | $7 – $19 |
| 13 | Ambetter facility · fee schedule · outpatient · +16 other terms | 109 | $20 | $20 | $5 | 24% | — | $11 – $29 |
| 14 | Kaiser fee schedule · outpatient · +14 other terms | 78 | $11 | $15 | $8 | 52% | — | $5 – $42 |
| 15 | Caresource fee schedule · outpatient · +14 other terms | 66 | $11 | $13 | $3 | 23% | — | $1 – $24 |
| 16 | Tricare facility · fee schedule · outpatient · +13 other terms | 55 | $10 | $15 | $38 | 248% | — | $9 – $317 |
| 17 | Superior Healthplan fee schedule · outpatient · +4 other terms | 53 | $12 | $60 | $64 | 106% | — | $9 – $183 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +8 other terms | 51 | $13 | $14 | $4 | 32% | — | $1 – $25 |
| 19 | Optum fee schedule · outpatient · +17 other terms | 49 | $11 | $15 | $6 | 43% | — | $11 – $32 |
| 20 | Clover fee schedule · outpatient · +7 other terms | 42 | $11 | $11 | $0 | 2% | — | $11 – $12 |
| 21 | Medica facility · fee schedule · outpatient · +15 other terms | 42 | $11 | $12 | $3 | 27% | — | $4 – $29 |
| 22 | Medicaid facility · fee schedule · outpatient · +12 other terms | 38 | $11 | $11 | $1 | 10% | — | $8 – $14 |
| 23 | MultiPlan fee schedule · outpatient · +15 other terms | 36 | $34 | $43 | $58 | 134% | — | $11 – $431 |
| 24 | First Health fee schedule · outpatient · +13 other terms | 35 | $11 | $13 | $11 | 81% | — | $9 – $88 |
| 25 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $41 | $43 | $21 | 48% | — | $11 – $96 |
← Hospitals reporting CPT 82760 · Snapshot 20261112T181611Z-3fa9fb76