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
Disp col sto bag breast milk
Low
$0
Average
$4
Median
$1
High
$15
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 54.7× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 54 | $1 | $1 | $0 | 27% | — | $0 – $1 |
| 2 | Bcbs Tx fee schedule · outpatient | 30 | $1 | $1 | $0 | 31% | — | $0 – $2 |
| 3 | Anthem facility · case rate · outpatient · +3 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 4 | Caresource facility · case rate · outpatient · +2 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 15 | $10 | $11 | $3 | 23% | — | $7 – $17 |
| 7 | Wellmark fee schedule · both | 13 | $0 | $0 | $0 | 9% | — | $0 – $1 |
| 8 | Optum facility · case rate · outpatient | 11 | $10 | $10 | $2 | 22% | — | $9 – $15 |
| 9 | Highmark fee schedule · outpatient · +2 other terms | 10 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Cigna professional · fee schedule · outpatient | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Aetna facility · fee schedule · outpatient · +2 other terms | 5 | $1 | $1 | $0 | 23% | — | $0 – $1 |
| 12 | First Health professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Amerihealth Caritas professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Humana facility · other · outpatient | 2 | $15 | $15 | $2 | 15% | — | $13 – $17 |
| 15 | Tricare facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Bcbs Il professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS A4287 · Snapshot 20261113T090226Z-3ce6c0b8