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
Drainage ext line, dialysis
Low
$0
Average
$14
Median
$11
High
$74
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
20 payers; the 90th percentile is 6.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +5 other terms | 29 | $12 | $16 | $13 | 80% | — | $6 – $64 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 17 | $25 | $25 | $17 | 69% | — | $0 – $65 |
| 3 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 8 | Medica fee schedule · both · +1 other terms | 9 | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Ucare fee schedule · both · +3 other terms | 9 | $5 | $5 | $0 | 5% | — | $5 – $6 |
| 10 | Bcbs Mn fee schedule · both · +1 other terms | 8 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Humana fee schedule · inpatient · +2 other terms | 5 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $74 | $77 | $5 | 6% | — | $74 – $84 |
| 14 | First Health professional · fee schedule · both | 3 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Bcbs Id facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 16 | Bcbs Il professional · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Bcbs Nv fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Bcbs Vt professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 20 | Wellmark case rate · outpatient · +1 other terms | 1 | $27 | $27 | — | — | — | $27 – $27 |
← Hospitals reporting HCPCS A4672 · Snapshot 20261112T181611Z-3fa9fb76