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
Weekly supply maint cgs pump
Low
$0
Average
$17
Median
$17
High
$37
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 11.5× 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 fee schedule · outpatient · +2 other terms | 60 | $2 | $2 | $1 | 28% | — | $0 – $4 |
| 2 | Bcbs Tx fee schedule · outpatient | 30 | $2 | $2 | $1 | 31% | — | $1 – $7 |
| 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 · +1 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 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 8 | Highmark fee schedule · outpatient · +2 other terms | 10 | $23 | $23 | $0 | 1% | — | $22 – $24 |
| 9 | Aetna facility · fee schedule · outpatient · +2 other terms | 4 | $36 | $33 | $8 | 23% | — | $14 – $36 |
| 10 | Humana facility · other · outpatient | 2 | $23 | $23 | $3 | 15% | — | $19 – $26 |
| 11 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Bcbs Nv fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
← Hospitals reporting HCPCS A4226 · Snapshot 20261113T090226Z-3ce6c0b8