Ventricular shunt reservoir with right-angled connector

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IMPLANTABLE ACCESS TOTAL CATHETER, PORT/RESERVOIR (E.G., VENOUS, ARTERIAL, EPIDURAL, SUBARACHNOID, PERITONEAL, ETC.)

Payers reporting HCPCS A4301

Payer pricing summary

Low

Average

$750

Median

$589

High

$3.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	27	$440	$977	$2.2k	226%	—	$3 – $11.5k
2	Aetna fee schedule · outpatient · +17 other terms	25	$60	$169	$135	80%	—	$32 – $511
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +15 other terms	20	$7	$8	$7	93%	—	$0 – $25
4	Medcost percent of total billed charges · inpatientfrom % of charges · +4 other terms	18	$273	$262	$177	67%	—	$42 – $1.5k
5	Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms	16	$440	$443	$192	43%	—	$167 – $638
6	Anthem facility · case rate · outpatient · +9 other terms	15	$10	$11	$3	23%	—	$7 – $17
7	Caresource facility · case rate · outpatient · +4 other terms	15	$10	$11	$3	23%	—	$7 – $17
8	Molina facility · case rate · outpatient · +11 other terms	15	$10	$11	$3	23%	—	$7 – $17
9	Medicaid fee schedule · outpatient · +2 other terms	14	$2.7k	$2.7k	$1.5k	55%	—	$82 – $9.7k
10	Amerihealth Caritas percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$66	$76	$41	54%	—	$19 – $145
11	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$423	$423	$34	8%	—	$389 – $457
12	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	12	$145	$151	$47	31%	—	$95 – $268
13	Humana fee schedule · outpatient · +12 other terms	11	$132	$122	$83	68%	—	$34 – $275
14	Optum facility · case rate · outpatient · +7 other terms	11	$10	$10	$2	22%	—	$9 – $15
15	Cigna professional · fee schedule · outpatient · +14 other terms	10	$2	$22	$42	194%	—	$2 – $117
16	Highmark fee schedule · outpatient · +2 other terms	10	$40	$40	—	—	—	$40 – $40
17	Magellan percent of total billed charges · outpatientfrom % of charges	10	$293	$293	$127	43%	—	$115 – $399
18	Oscar percent of total billed charges · outpatientfrom % of charges · +3 other terms	9	$147	$175	$177	101%	—	$37 – $1.0k
19	Bcbs Il professional · fee schedule · both	8	$11	$13	$20	151%	—	$0 – $43
20	First Health professional · fee schedule · both · +7 other terms	8	$0	$14	$18	129%	—	$0 – $38
21	WellCare professional · fee schedule · both · +3 other terms	8	$0	$0	—	—	—	$0 – $0
22	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$36	$36	—	—	—	$36 – $36
23	MultiPlan fee schedule · inpatient · +12 other terms	7	$334	$334	—	—	—	$334 – $334
24	Kaiser fee schedule · outpatient · +7 other terms	6	$2.4k	$2.6k	$1.4k	54%	—	$82 – $9.5k
25	Bcbs Mn fee schedule · outpatient	5	$1	$1	$0	66%	—	$0 – $1

Page 1 of 2 · 46 payers