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 (Sup Shell A4213) 20+ Cc Syringe Only
Low
$0
Average
$25
Median
$4
High
$284
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 120.7× 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 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 10% | 15–24 | $1 – $1 |
| 2 | Humana fee schedule · outpatient · +11 other terms | 71 | $2 | $4 | $2 | 65% | — | $0 – $7 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms | 36 | $2 | $7 | $12 | 174% | — | $0 – $43 |
| 4 | UnitedHealthcare fee schedule · both · +15 other terms | 31 | $0 | $0 | $1 | 178% | — | $0 – $6 |
| 5 | Aetna fee schedule · outpatient · +14 other terms | 29 | $1 | $1 | $1 | 93% | — | $0 – $5 |
| 6 | Anthem facility · case rate · outpatient · +7 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 7 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 8 | Cigna fee schedule · both · +11 other terms | 15 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 9 | Molina facility · case rate · outpatient · +7 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 10 | Wellmark fee schedule · both · +1 other terms | 13 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 11 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1 | $1 | $1 | 49% | — | $0 – $2 |
| 12 | Bcbs Nj fee schedule · outpatient | 12 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Highmark fee schedule · outpatient · +4 other terms | 12 | $1 | $1 | $0 | 8% | — | $1 – $1 |
| 14 | Optum facility · case rate · outpatient · +4 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 15 | Medica fee schedule · outpatient · +4 other terms | 10 | $1 | $1 | $0 | 26% | — | $1 – $2 |
| 16 | Ucare fee schedule · both | 9 | $1 | $1 | $0 | 8% | — | $1 – $1 |
| 17 | Bcbs Il professional · fee schedule · both | 8 | $0 | $1 | $2 | 290% | — | $0 – $10 |
| 18 | First Health professional · fee schedule · both · +4 other terms | 8 | $0 | $0 | $0 | 119% | — | $0 – $0 |
| 19 | WellCare professional · fee schedule · both · +2 other terms | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Aetna Better Health fee schedule · inpatient · +6 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Bcbs Tx facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 6 | $105 | $231 | $206 | 89% | — | $2 – $668 |
| 22 | Ambetter professional · fee schedule · both · +3 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Amerihealth Caritas professional · fee schedule · outpatient · +3 other terms | 3 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 24 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $0 | $0 | $0 | 6% | — | $0 – $0 |
| 25 | Bcbs Id facility · fee schedule · outpatient · +1 other terms | 2 | $1 | $0 | $0 | 23% | — | $0 – $1 |
← Hospitals reporting HCPCS A4213 · Snapshot 20261111T120946Z-9134e7f7