Infusion supplies without pump

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Hc (Sup Shell A4223) Infusion Supplies W/O Pump

Payers reporting HCPCS A4223

Payer pricing summary

Low

Average

$59

Median

$51

High

$279

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +11 other terms	34	$10	$42	$55	132%	—	$0 – $219
2	Aetna fee schedule · outpatient · +11 other terms	29	$24	$32	$26	80%	—	$12 – $128
3	Anthem facility · case rate · outpatient · +7 other terms	15	$15	$17	$4	23%	—	$10 – $26
4	Caresource facility · case rate · outpatient · +3 other terms	15	$16	$17	$4	23%	—	$10 – $27
5	Molina facility · case rate · outpatient · +5 other terms	15	$15	$17	$4	23%	—	$11 – $26
6	UnitedHealthcare facility · case rate · outpatient · +8 other terms	15	$16	$17	$4	23%	—	$11 – $27
7	Wellmark fee schedule · both · +1 other terms	13	$59	$59	$4	7%	—	$35 – $59
8	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$185	$118	$102	87%	—	$0 – $231
9	Highmark fee schedule · outpatient · +2 other terms	11	$51	$50	$5	11%	—	$23 – $51
10	Optum facility · case rate · outpatient · +2 other terms	11	$14	$16	$4	22%	—	$13 – $24
11	Cigna professional · fee schedule · outpatient · +7 other terms	10	$19	$19	—	—	—	$19 – $19
12	Medica fee schedule · both · +3 other terms	9	$58	$58	—	—	—	$58 – $58
13	Ucare fee schedule · both · +1 other terms	9	$60	$60	$3	5%	—	$56 – $63
14	Aetna Better Health fee schedule · outpatient · +3 other terms	8	$21	$20	$0	1%	—	$20 – $21
15	Humana fee schedule · inpatient · +5 other terms	5	$20	$20	—	—	—	$20 – $20
16	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$30	$31	$2	6%	—	$29 – $33
17	First Health professional · fee schedule · both · +4 other terms	3	$22	$22	—	—	—	$22 – $22
18	Kaiser fee schedule · both · +2 other terms	2	$66	$66	—	—	—	$66 – $66
19	Medcost facility · percent of total billed charges · bothfrom % of charges	2	$54	$54	—	—	—	$54 – $54
20	Medical Mutual facility · percent of total billed charges · bothfrom % of charges	2	$54	$55	$0	1%	—	$54 – $55
21	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +6 other terms	2	$495	$495	—	—	—	$495 – $495
22	Oscar facility · percent of total billed charges · bothfrom % of charges	2	$54	$54	—	—	—	$54 – $54
23	Sanford Health Plan facility · percent of total billed charges · bothfrom % of charges	2	$55	$55	$1	1%	—	$54 – $55
24	Bcbs Id facility · fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
25	Bcbs Il professional · fee schedule · both	1	$85	$85	—	—	—	$85 – $85

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