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 PLACENTA ALPHA MICRO IG C/V
Low
$48
Average
$195
Median
$167
High
$744
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 3.2× 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 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 802 | $99 | $111 | $68 | 61% | 125–512 | $1 – $962 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 529 | $138 | $219 | $216 | 99% | 70–151 | $1 – $3.3k |
| 3 | Cigna fee schedule · outpatient · +22 other terms | 499 | $187 | $215 | $142 | 66% | 42–168 | $5 – $1.1k |
| 4 | Anthem fee schedule · outpatient · +22 other terms | 219 | $119 | $196 | $172 | 88% | 40–175 | $13 – $960 |
| 5 | Bcbs Al facility · other · outpatient · +3 other terms | 3 | $47 | $49 | $5 | 10% | 26–44 | $44 – $55 |
| 6 | Aetna fee schedule · outpatient · +29 other terms | 733 | $112 | $242 | $379 | 157% | 19–190 | $0 – $8.4k |
| 7 | Premera fee schedule · outpatient · +8 other terms | 19 | $118 | $138 | $62 | 45% | 6–60 | $98 – $332 |
| 8 | Humana fee schedule · outpatient · +27 other terms | 541 | $99 | $200 | $227 | 114% | 3–30 | $1 – $1.1k |
| 9 | Ambetter fee schedule · outpatient · +18 other terms | 125 | $161 | $147 | $50 | 34% | 2–20 | $41 – $326 |
| 10 | First Health fee schedule · outpatient · +16 other terms | 69 | $196 | $172 | $112 | 65% | 2–20 | $82 – $491 |
| 11 | Healthpartners fee schedule · outpatient · +11 other terms | 27 | $297 | $283 | $52 | 18% | 2–20 | $100 – $333 |
| 12 | Bcbs Ar fee schedule · both | 1 | $110 | $110 | — | — | 2–20 | $110 – $110 |
| 13 | Molina fee schedule · outpatient · +26 other terms | 286 | $107 | $124 | $91 | 73% | 1–10 | $1 – $1.3k |
| 14 | Aetna Better Health fee schedule · outpatient · +16 other terms | 108 | $89 | $89 | $8 | 9% | 1–10 | $48 – $104 |
| 15 | Caresource fee schedule · outpatient · +15 other terms | 101 | $100 | $123 | $69 | 56% | 1–10 | $1 – $454 |
| 16 | Sanford Health Plan fee schedule · outpatient · +11 other terms | 17 | $234 | $182 | $141 | 77% | 1–10 | $97 – $799 |
| 17 | WellCare fee schedule · outpatient · +18 other terms | 311 | $101 | $106 | $24 | 23% | — | $54 – $319 |
| 18 | Devoted fee schedule · outpatient · +14 other terms | 189 | $98 | $99 | $3 | 3% | — | $96 – $113 |
| 19 | Oscar fee schedule · outpatient · +17 other terms | 168 | $190 | $206 | $70 | 34% | — | $72 – $300 |
| 20 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 138 | $102 | $100 | $10 | 10% | — | $59 – $167 |
| 21 | Kaiser fee schedule · outpatient · +20 other terms | 127 | $108 | $157 | $137 | 88% | — | $5 – $1.1k |
| 22 | Tricare facility · fee schedule · outpatient · +17 other terms | 113 | $96 | $97 | $28 | 28% | — | $3 – $284 |
| 23 | MultiPlan fee schedule · outpatient · +17 other terms | 99 | $356 | $337 | $210 | 62% | — | $91 – $1.0k |
| 24 | Optum fee schedule · outpatient · +17 other terms | 71 | $98 | $137 | $74 | 54% | — | $96 – $392 |
| 25 | Superior Healthplan fee schedule · outpatient · +5 other terms | 61 | $103 | $124 | $28 | 22% | — | $82 – $183 |
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