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
Nmes disposable
Low
$0
Average
$188
Median
$38
High
$659
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 22.5× 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.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient | 57 | $626 | $659 | $266 | 40% | — | $0 – $1.2k |
| 2 | Bcbs Tx fee schedule · outpatient | 30 | $550 | $567 | $177 | 31% | — | $419 – $2.1k |
| 3 | Anthem facility · case rate · outpatient · +3 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $34 | $36 | $8 | 23% | — | $23 – $57 |
| 5 | Molina facility · case rate · outpatient · +1 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 15 | $34 | $37 | $9 | 23% | — | $23 – $57 |
| 7 | Optum facility · case rate · outpatient | 11 | $31 | $34 | $8 | 22% | — | $28 – $51 |
| 8 | Cigna professional · fee schedule · outpatient | 8 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Humana fee schedule · outpatient · +4 other terms | 7 | $69 | $66 | $7 | 11% | — | $50 – $75 |
| 10 | Bcbs La fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting HCPCS A4560 · Snapshot 20261111T120946Z-9134e7f7