CPT 93221
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
Nf-sucralfate Tablet 1gm
Low
$6
Average
$11.9k
Median
$12
High
$50k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
13 payers; the 90th percentile is 4949.0× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna professional · fee schedule · both · +3 other terms | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Superior Healthplan fee schedule · outpatient · +1 other terms | 2 | $8 | $8 | $1 | 15% | — | $6 – $9 |
| 3 | Anthem facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26.0k | $26.0k | $165 | 1% | — | $25.9k – $26.3k |
| 4 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | $1 | 15% | — | $5 – $7 |
| 6 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Humana facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 8 | Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33.5k | $33.5k | — | — | — | $33.5k – $33.5k |
| 9 | Molina facility · other · outpatient | 1 | $25k | $25k | — | — | — | $25k – $25k |
| 10 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Hospitals reporting CPT 93221 · Snapshot 20261113T090226Z-3ce6c0b8