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 A4223) Infusion Supplies W/O Pump
Low
$0
Average
$47
Median
$45
High
$308
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 87.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
85 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Saint John Hospital Leavenworth, KS percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 19 | $3 – $3 |
| 2 | Providence Medical Center City, KS percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | — | — | 2–20 | $5 – $5 |
| 3 | St Marys Medical Center Springs, MO percent of total billed charges · outpatientfrom % of charges | 2 | $12 | $12 | — | — | 2–20 | $12 – $12 |
| 4 | Lower Bucks Hospital Bristol, PA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | 1–10 | $4 – $4 |
| 5 | Roxborough Memorial Hospital PA 19128; 2701 DeKalb Pike East Norriton, PA percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 6 | San Dimas Community Hospital Dimas, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 7 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 3 | $1 | $1 | $0 | 46% | — | $0 – $1 |
| 12 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 13 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $31 | $28 | $4 | 13% | — | $23 – $31 |
| 14 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 15 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 16 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 17 | Edward Hospital Plainfield, IL fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 18 | Elmhurst Memorial Hospital Elmhurst, IL fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 19 | Endeavor Health Clinical Operations Skokie, IL fee schedule · outpatient | 3 | $130 | $130 | $9 | 7% | — | $120 – $141 |
| 20 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS A4223 · Snapshot 20261111T120946Z-9134e7f7