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 ER IV Infus Thpy/Pro/Dx Intl Up
72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +39 other terms | 525 | $232.85 | $328.71 | $1.05 – $2,006 |
| 2 | UnitedHealthcare fee schedule · outpatient · +42 other terms | 492 | $234.87 | $364.00 | $1.00 – $23,044 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +39 other terms | 476 | $256.32 | $328.36 | $1.00 – $22,816 |
| 4 | Humana fee schedule · outpatient · +36 other terms | 399 | $225.45 | $249.77 | $1.10 – $8,334 |
| 5 | Cigna fee schedule · outpatient · +36 other terms | 237 | $260.18 | $789.20 | $1.00 – $12,607 |
| 6 | Molina fee schedule · outpatient · +34 other terms | 190 | $211.22 | $217.74 | $1.00 – $879.07 |
| 7 | WellCare fee schedule · outpatient · +26 other terms | 186 | $226.81 | $225.96 | $35.70 – $493.76 |
| 8 | Anthem facility · fee schedule · outpatient · +33 other terms | 154 | $273.57 | $568.11 | $22.00 – $6,176 |
| 9 | MultiPlan fee schedule · outpatient · +24 other terms | 136 | $691.74 | $871.46 | $1.15 – $3,837 |
| 10 | Kaiser fee schedule · outpatient · +26 other terms | 110 | $305.34 | $370.31 | $51.57 – $1,625 |
| 11 | Devoted facility · fee schedule · outpatient · +19 other terms | 107 | $213.35 | $230.44 | $34.32 – $4,877 |
| 12 | Ambetter facility · fee schedule · outpatient · +24 other terms | 101 | $380.24 | $366.52 | $88.18 – $7,074 |
| 13 | Highmark facility · fee schedule · outpatient · +19 other terms | 94 | $253.91 | $376.01 | $22.00 – $6,176 |
| 14 | Tricare facility · fee schedule · outpatient · +19 other terms | 93 | $213.67 | $463.29 | $31.66 – $10,284 |
| 15 | Caresource fee schedule · outpatient · +23 other terms | 72 | $209.40 | $194.44 | $1.08 – $551.00 |
| 16 | Medicaid facility · fee schedule · outpatient · +19 other terms | 62 | $181.61 | $257.34 | $39.30 – $6,266 |
| 17 | Oscar facility · fee schedule · outpatient · +23 other terms | 61 | $335.36 | $348.44 | $98.00 – $4,077 |
| 18 | Medicare other · both · +19 other terms | 55 | $225.04 | $238.01 | $80.67 – $925.00 |
| 19 | Optum fee schedule · outpatient · +26 other terms | 55 | $193.45 | $274.34 | $50.23 – $1,514 |
| 20 | Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms | 53 | $61.35 | $145.26 | $39.30 – $612.78 |
| 21 | First Health fee schedule · outpatient · +22 other terms | 51 | $568.68 | $609.66 | $56.47 – $1,397 |
| 22 | Regence facility · fee schedule · outpatient · +20 other terms | 43 | $223.31 | $754.35 | $22.00 – $6,176 |
| 23 | Medica fee schedule · outpatient · +23 other terms | 40 | $217.16 | $229.94 | $44.82 – $841.62 |
| 24 | Aetna Better Health fee schedule · outpatient · +20 other terms | 38 | $133.62 | $158.32 | $49.36 – $763.74 |
| 25 | Clover facility · fee schedule · outpatient · +11 other terms | 37 | $224.01 | $226.99 | $185.15 – $248.12 |
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