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
Pregnancy Plasma Protien
Low
$6
Average
$49
Median
$34
High
$230
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 5.6× 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 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 703 | $15 | $19 | $21 | 112% | — | $2 – $325 |
| 2 | Aetna fee schedule · outpatient · +23 other terms | 665 | $17 | $88 | $395 | 448% | — | $0 – $8.4k |
| 3 | Humana fee schedule · outpatient · +22 other terms | 466 | $15 | $35 | $45 | 130% | — | $11 – $447 |
| 4 | Cigna fee schedule · outpatient · +20 other terms | 458 | $31 | $44 | $84 | 191% | — | $5 – $759 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 441 | $22 | $42 | $68 | 159% | — | $0 – $759 |
| 6 | WellCare fee schedule · outpatient · +16 other terms | 291 | $16 | $55 | $170 | 308% | — | $8 – $812 |
| 7 | Molina fee schedule · outpatient · +24 other terms | 263 | $17 | $19 | $11 | 59% | — | $1 – $196 |
| 8 | Devoted fee schedule · outpatient · +10 other terms | 190 | $15 | $15 | $0 | 3% | — | $15 – $17 |
| 9 | Anthem fee schedule · outpatient · +15 other terms | 181 | $22 | $48 | $118 | 248% | — | $3 – $759 |
| 10 | Oscar fee schedule · outpatient · +17 other terms | 163 | $29 | $32 | $11 | 34% | — | $12 – $46 |
| 11 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 129 | $16 | $15 | $1 | 9% | — | $13 – $26 |
| 12 | Ambetter fee schedule · outpatient · +15 other terms | 107 | $25 | $87 | $308 | 354% | — | $7 – $1.6k |
| 13 | Kaiser fee schedule · outpatient · +15 other terms | 91 | $15 | $21 | $18 | 82% | — | $5 – $129 |
| 14 | Aetna Better Health fee schedule · outpatient · +15 other terms | 90 | $14 | $14 | $1 | 8% | — | $8 – $16 |
| 15 | Caresource fee schedule · outpatient · +13 other terms | 79 | $15 | $23 | $22 | 94% | — | $8 – $100 |
| 16 | Optum fee schedule · outpatient · +14 other terms | 60 | $15 | $19 | $8 | 41% | — | $15 – $43 |
| 17 | Superior Healthplan fee schedule · outpatient · +5 other terms | 53 | $16 | $28 | $15 | 54% | — | $13 – $53 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +11 other terms | 43 | $18 | $156 | $291 | 187% | — | $13 – $767 |
| 19 | Clover fee schedule · outpatient · +6 other terms | 42 | $15 | $15 | $0 | 2% | — | $15 – $16 |
| 20 | Tricare fee schedule · outpatient · +15 other terms | 38 | $15 | $186 | $308 | 166% | — | $12 – $759 |
| 21 | First Health fee schedule · outpatient · +13 other terms | 37 | $15 | $18 | $11 | 61% | — | $13 – $60 |
| 22 | MultiPlan fee schedule · outpatient · +16 other terms | 37 | $186 | $117 | $103 | 88% | — | $15 – $447 |
| 23 | Medica facility · fee schedule · outpatient · +13 other terms | 35 | $15 | $16 | $7 | 42% | — | $5 – $64 |
| 24 | Highmark facility · fee schedule · outpatient · +11 other terms | 30 | $26 | $66 | $54 | 82% | — | $10 – $198 |
| 25 | Regence facility · fee schedule · outpatient · +13 other terms | 26 | $16 | $20 | $10 | 49% | — | $13 – $45 |
← Hospitals reporting CPT 84163 · Snapshot 20261113T090226Z-3ce6c0b8