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
$2
Average
$61
Median
$33
High
$328
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 7.8× 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.
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28 hospital rates
iThe hospitals that file a Cigna 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 | Riverview Regional Medical Center Gadsden, AL percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 2 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 3 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $79 | $79 | $7 | 9% | — | $73 – $86 |
| 8 | Inspira Health Center Bridgeton Bridgeton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 9 | Inspira Health Center Woodbury Woodbury, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 11 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 12 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 13 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 14 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 15 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 16 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $54 | $55 | $1 | 2% | — | $54 – $57 |
| 17 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 18 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 19 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 20 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $4 | 11% | — | $27 – $35 |
| 22 | STONEWALL JACKSON HOSPITAL Weston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | $4 | 32% | — | $8 – $19 |
| 23 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 24 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · inpatientfrom % of charges | 3 | $319 | $328 | $17 | 5% | — | $314 – $352 |
| 25 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $319 | $328 | $17 | 5% | — | $314 – $352 |
← Payers reporting HCPCS A4223 · Snapshot 20261111T120946Z-9134e7f7