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
Supp for self-adm injections
Low
$0
Average
$17
Median
$17
High
$46
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 60.0× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms | 36 | $7 | $10 | $8 | 85% | — | $0 – $32 |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 29 | $3 | $4 | $3 | 80% | — | $2 – $16 |
| 3 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 7 | Wellmark fee schedule · both · +1 other terms | 13 | $1 | $1 | $2 | 122% | — | $1 – $11 |
| 8 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1 | $1 | $0 | 46% | — | $0 – $1 |
| 9 | Optum facility · case rate · outpatient · +2 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 10 | Cigna professional · fee schedule · outpatient · +3 other terms | 10 | $3 | $5 | $3 | 53% | — | $3 – $9 |
| 11 | Highmark fee schedule · outpatient · +2 other terms | 10 | $36 | $36 | — | — | — | $36 – $36 |
| 12 | Medica fee schedule · both · +1 other terms | 9 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Ucare fee schedule · both | 9 | $1 | $1 | $0 | 6% | — | $0 – $1 |
| 14 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $3 | $3 | — | — | — | $3 – $3 |
| 15 | Humana fee schedule · inpatient · +3 other terms | 5 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | First Health professional · fee schedule · both | 3 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Bcbs Id facility · fee schedule · outpatient | 2 | $13 | $17 | $12 | 69% | — | $0 – $26 |
| 18 | Kaiser fee schedule · both | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Bcbs Il professional · fee schedule · both | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 20 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs Nc facility · fee schedule · outpatient | 1 | $41 | $41 | $20 | 49% | — | $27 – $70 |
| 22 | Bcbs Nv fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Bcbs Vt professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | Healthpartners facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | MultiPlan facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | $11 | 24% | — | $32 – $67 |
← Hospitals reporting HCPCS A4211 · Snapshot 20261112T181611Z-3fa9fb76