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
BICARBONATE CONC SOL PER GAL
Low
$0
Average
$15
Median
$12
High
$49
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 17.4× 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 | WellCare percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 46 | $9 | $12 | $8 | 66% | — | $4 – $39 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 32 | $26 | $77 | $92 | 120% | — | $0 – $397 |
| 4 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 5 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 6 | Molina facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 7 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 9 | Medica fee schedule · both · +1 other terms | 9 | $14 | $14 | — | — | — | $14 – $14 |
| 10 | Ucare fee schedule · both | 9 | $14 | $14 | $1 | 5% | — | $14 – $15 |
| 11 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $15 | $15 | — | — | — | $15 – $15 |
| 12 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $6 | $6 | — | — | — | $6 – $6 |
| 13 | Humana fee schedule · inpatient · +2 other terms | 5 | $6 | $6 | — | — | — | $6 – $6 |
| 14 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $2 | $2 | $0 | 6% | — | $2 – $2 |
| 15 | First Health professional · fee schedule · both | 3 | $7 | $7 | — | — | — | $7 – $7 |
| 16 | Bcbs Id facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Bcbs Nc facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 19 | Bcbs Nv fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | Bcbs Vt professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 21 | Cigna fee schedule · both · +1 other terms | 1 | $80 | $80 | — | — | — | $80 – $80 |
← Hospitals reporting HCPCS A4706 · Snapshot 20261111T120946Z-9134e7f7