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
Adju cgm supply allowance
Low
$80
Average
$343
Median
$294
High
$955
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
44 payers; the 90th percentile is 2.6× 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 | Humana fee schedule · outpatient · +5 other terms | 229 | $278 | $298 | $114 | 38% | — | $117 – $1.1k |
| 2 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 224 | $284 | $272 | $36 | 13% | — | $145 – $297 |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 221 | $283 | $318 | $177 | 56% | — | $148 – $2.1k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 174 | $281 | $262 | $104 | 40% | — | $0 – $1.1k |
| 5 | WellCare fee schedule · outpatient · +2 other terms | 169 | $289 | $299 | $49 | 16% | — | $275 – $548 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 142 | $281 | $282 | $5 | 2% | — | $281 – $297 |
| 7 | Cigna Healthspring fee schedule · outpatient | 104 | $286 | $285 | $8 | 3% | — | $281 – $303 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 84 | $413 | $387 | $150 | 39% | — | $275 – $735 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 59 | $289 | $327 | $81 | 25% | — | $275 – $702 |
| 10 | Superior Healthplan fee schedule · outpatient | 39 | $295 | $295 | — | — | — | $295 – $295 |
| 11 | Clover fee schedule · outpatient | 32 | $284 | $285 | $9 | 3% | — | $275 – $295 |
| 12 | Bcbs Tx fee schedule · outpatient | 31 | $172 | $175 | $59 | 34% | — | $120 – $593 |
| 13 | Anthem fee schedule · outpatient · +5 other terms | 24 | $281 | $290 | $34 | 12% | — | $281 – $457 |
| 14 | Oscar fee schedule · outpatient | 24 | $275 | $283 | $10 | 3% | — | $275 – $295 |
| 15 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 16 | $337 | $334 | $7 | 2% | — | $320 – $337 |
| 16 | Caresource fee schedule · outpatient · +3 other terms | 15 | $281 | $281 | — | — | — | $281 – $281 |
| 17 | Optum fee schedule · outpatient · +1 other terms | 15 | $281 | $359 | $165 | 46% | — | $275 – $702 |
| 18 | Kaiser fee schedule · outpatient · +2 other terms | 14 | $286 | $286 | $1 | 0% | — | $281 – $286 |
| 19 | Wellmark fee schedule · both · +1 other terms | 13 | $275 | $273 | $12 | 4% | — | $202 – $275 |
| 20 | Bcbs Nj fee schedule · outpatient | 12 | $275 | $594 | $403 | 68% | — | $275 – $1.2k |
| 21 | Highmark fee schedule · outpatient · +3 other terms | 10 | $304 | $312 | $82 | 26% | — | $129 – $660 |
| 22 | Medica fee schedule · outpatient · +4 other terms | 10 | $545 | $550 | $137 | 25% | — | $331 – $704 |
| 23 | Medical Mutual fee schedule · outpatient | 9 | $504 | $504 | — | — | — | $504 – $504 |
| 24 | Ucare fee schedule · both · +1 other terms | 9 | $278 | $278 | $17 | 6% | — | $260 – $300 |
| 25 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $269 | $269 | $17 | 6% | — | $255 – $293 |
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