Mini Express drainage device, 500 size

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fee Schedule

Payers reporting HCPCS A7042

Payer pricing summary

Low

$37

Average

$267

Median

$211

High

$988

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana other · outpatient · +5 other terms	26	$120	$123	$91	74%	—	$38 – $456
2	Optum other · outpatient	26	$248	$314	$201	64%	—	$44 – $956
3	Aetna other · outpatient · +7 other terms	25	$161	$187	$104	55%	—	$44 – $574
4	Cigna other · outpatient · +6 other terms	25	$183	$215	$110	51%	—	$99 – $616
5	UnitedHealthcare other · outpatient · +5 other terms	25	$64	$115	$94	82%	—	$38 – $456
6	Aetna Better Health other · outpatient · +2 other terms	19	$64	$88	$88	100%	—	$39 – $456
7	Amerihealth Caritas other · outpatient	19	$64	$87	$88	100%	—	$39 – $456
8	Bcbs La other · outpatient · +1 other terms	19	$147	$176	$101	58%	—	$44 – $478
9	WellCare other · outpatient · +1 other terms	11	$227	$238	$128	54%	—	$44 – $478
10	MultiPlan other · inpatient · +8 other terms	9	$330	$259	$82	32%	—	$137 – $330
11	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	8	$900	$798	$186	23%	—	$395 – $960
12	Ambetter other · outpatient · +1 other terms	7	$196	$184	$58	32%	—	$74 – $247
13	First Health other · inpatient · +4 other terms	7	$161	$172	$29	17%	—	$129 – $205
14	Bcbs Ms other · outpatient	6	$296	$264	$54	20%	—	$186 – $311
15	Phcs fee schedule · inpatient · +5 other terms	6	$935	$935	—	—	—	$935 – $935
16	Cigna Healthspring other · outpatient	5	$225	$214	$26	12%	—	$175 – $245
17	Medica fee schedule · outpatient	5	$988	$988	—	—	—	$988 – $988
18	Molina other · outpatient · +2 other terms	5	$227	$216	$26	12%	—	$176 – $247
19	Tricare other · outpatient · +1 other terms	5	$225	$409	$252	62%	—	$166 – $717
20	Anthem facility · fee schedule · outpatient · +4 other terms	3	$161	$263	$90	34%	—	$161 – $362
21	Highmark facility · percent of total billed charges · outpatientfrom % of charges	2	$50	$54	$17	31%	—	$29 – $70
22	Kaiser fee schedule · both	2	$353	$353	—	—	—	$353 – $353
23	Bcbs Il facility · percent of total billed charges · outpatientfrom % of charges	1	$151	$151	—	—	—	$151 – $151
24	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$44	$44	$5	11%	—	$39 – $49
25	Beechstreet facility · percent of total billed charges · outpatientfrom % of charges	1	$37	$37	—	—	—	$37 – $37

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