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 FACTOR XIII 1:1 MIX
Low
$5
Average
$63
Median
$39
High
$268
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 10.0× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | WellCare fee schedule · outpatient · +16 other terms | 309 | $9 | $10 | $4 | 41% | 1–10 | $5 – $61 |
| 2 | Aetna Better Health fee schedule · outpatient · +15 other terms | 102 | $9 | $9 | $1 | 8% | 1–10 | $3 – $10 |
| 3 | Bcbs Al facility · other · outpatient · +4 other terms | 3 | $5 | $5 | $0 | 4% | 1–10 | $5 – $5 |
| 4 | UnitedHealthcare fee schedule · outpatient · +31 other terms | 769 | $9 | $11 | $15 | 131% | — | $1 – $331 |
| 5 | Aetna fee schedule · outpatient · +25 other terms | 727 | $12 | $52 | $357 | 688% | — | $0 – $8.4k |
| 6 | Humana fee schedule · outpatient · +25 other terms | 532 | $9 | $20 | $26 | 128% | — | $1 – $296 |
| 7 | Cigna fee schedule · outpatient · +23 other terms | 517 | $20 | $25 | $24 | 96% | — | $4 – $296 |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +30 other terms | 488 | $15 | $23 | $22 | 96% | — | $1 – $201 |
| 9 | Molina fee schedule · outpatient · +27 other terms | 300 | $10 | $11 | $10 | 84% | — | $1 – $204 |
| 10 | Anthem fee schedule · outpatient · +21 other terms | 224 | $12 | $19 | $21 | 114% | — | $3 – $301 |
| 11 | Devoted fee schedule · outpatient · +12 other terms | 189 | $9 | $9 | $0 | 3% | — | $9 – $11 |
| 12 | Oscar fee schedule · outpatient · +17 other terms | 169 | $18 | $19 | $7 | 34% | — | $7 – $28 |
| 13 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 140 | $9 | $9 | $1 | 7% | — | $8 – $15 |
| 14 | Kaiser fee schedule · outpatient · +16 other terms | 121 | $9 | $14 | $17 | 120% | — | $5 – $188 |
| 15 | Ambetter facility · fee schedule · outpatient · +16 other terms | 106 | $16 | $16 | $4 | 23% | — | $5 – $23 |
| 16 | Caresource fee schedule · outpatient · +16 other terms | 92 | $10 | $14 | $13 | 93% | — | $1 – $62 |
| 17 | MultiPlan fee schedule · outpatient · +17 other terms | 89 | $45 | $64 | $75 | 117% | — | $9 – $355 |
| 18 | Optum fee schedule · outpatient · +18 other terms | 77 | $9 | $16 | $16 | 104% | — | $9 – $144 |
| 19 | First Health fee schedule · outpatient · +16 other terms | 65 | $18 | $18 | $25 | 133% | — | $8 – $214 |
| 20 | Superior Healthplan fee schedule · outpatient · +7 other terms | 58 | $10 | $64 | $97 | 152% | — | $8 – $345 |
| 21 | Tricare fee schedule · outpatient · +16 other terms | 57 | $9 | $9 | $1 | 6% | — | $7 – $10 |
| 22 | Highmark facility · fee schedule · outpatient · +15 other terms | 50 | $16 | $21 | $20 | 96% | — | $6 – $104 |
| 23 | Clover fee schedule · outpatient · +7 other terms | 49 | $9 | $9 | $0 | 2% | — | $9 – $10 |
| 24 | Amerihealth Caritas fee schedule · outpatient · +11 other terms | 46 | $9 | $10 | $2 | 24% | — | $1 – $14 |
| 25 | Medicaid facility · fee schedule · outpatient · +12 other terms | 41 | $9 | $10 | $3 | 29% | — | $5 – $25 |
← Hospitals reporting CPT 85291 · Snapshot 20261112T181611Z-3fa9fb76