HCPCS A4688
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
facility
Low
$209
Average
$241
Median
$232
High
$268
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
5 payers; the 90th percentile is 1.2× 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 | Aetna facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 3 | Cigna facility · fee schedule · inpatient · +4 other terms | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 4 | Tricare facility · fee schedule · outpatient · +1 other terms | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 5 | UnitedHealthcare facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $209 | $209 | — | — | — | $209 – $209 |
· Snapshot 20261113T090226Z-3ce6c0b8