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 A4389) DRAINABLE PCH W ST WEAR BARR
Low
$2
Average
$15
Median
$9
High
$224
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
51 payers; the 90th percentile is 2.7× 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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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +9 other terms | 301 | $9 | $13 | $14 | 105% | — | $4 – $68 |
| 2 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 290 | $9 | $9 | $1 | 13% | — | $4 – $10 |
| 3 | Aetna fee schedule · outpatient · +9 other terms | 267 | $9 | $10 | $5 | 48% | — | $4 – $53 |
| 4 | WellCare fee schedule · outpatient · +5 other terms | 185 | $9 | $9 | $2 | 16% | — | $9 – $17 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +11 other terms | 182 | $9 | $11 | $5 | 49% | — | $0 – $38 |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 163 | $9 | $9 | $0 | 2% | — | $9 – $9 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $9 | $9 | $0 | 3% | — | $9 – $10 |
| 8 | Molina fee schedule · outpatient · +5 other terms | 97 | $11 | $12 | $5 | 39% | — | $7 – $23 |
| 9 | Cigna fee schedule · outpatient · +9 other terms | 77 | $9 | $10 | $2 | 24% | — | $9 – $22 |
| 10 | Anthem fee schedule · outpatient · +7 other terms | 74 | $9 | $9 | $1 | 8% | — | $9 – $14 |
| 11 | Superior Healthplan fee schedule · outpatient | 40 | $9 | $9 | $0 | 0% | — | $9 – $9 |
| 12 | Kaiser fee schedule · outpatient · +4 other terms | 39 | $9 | $9 | $0 | 2% | — | $9 – $9 |
| 13 | Clover fee schedule · outpatient · +1 other terms | 37 | $9 | $9 | $0 | 3% | — | $9 – $9 |
| 14 | Bcbs Tx fee schedule · outpatient | 31 | $8 | $8 | $2 | 29% | — | $6 – $30 |
| 15 | Optum fee schedule · outpatient · +1 other terms | 25 | $9 | $10 | $4 | 42% | — | $9 – $22 |
| 16 | Oscar fee schedule · outpatient · +2 other terms | 24 | $9 | $9 | $0 | 3% | — | $9 – $9 |
| 17 | Caresource facility · case rate · outpatient · +4 other terms | 20 | $16 | $16 | $4 | 25% | — | $9 – $27 |
| 18 | Medicare fee schedule · outpatient | 18 | $9 | $9 | $0 | 1% | — | $9 – $9 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +2 other terms | 16 | $11 | $11 | $0 | 2% | — | $10 – $11 |
| 20 | Aetna Better Health fee schedule · outpatient · +3 other terms | 13 | $4 | $6 | $2 | 35% | — | $4 – $9 |
| 21 | Wellmark fee schedule · both · +1 other terms | 13 | $8 | $8 | $0 | 3% | — | $6 – $8 |
| 22 | Ambetter case rate · outpatient · +5 other terms | 12 | $13 | $13 | $1 | 4% | — | $13 – $14 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $8 | $5 | $4 | 77% | — | $0 – $9 |
| 24 | Bcbs Nj fee schedule · outpatient | 12 | $9 | $19 | $13 | 68% | — | $9 – $38 |
| 25 | Highmark fee schedule · outpatient · +4 other terms | 10 | $9 | $9 | $3 | 36% | — | $4 – $21 |
← Hospitals reporting HCPCS A4389 · Snapshot 20261111T120946Z-9134e7f7