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
IN-111 WBC DX PER DOSE
Low
$577
Average
$4.2k
Median
$3.1k
High
$20.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 6.1× 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 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 617 | $1.8k | $2.2k | $1.8k | 81% | 5–50 | $1 – $14.0k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 297 | $4.5k | $7.1k | $6.3k | 89% | 1–10 | $1 – $27.4k |
| 3 | Aetna fee schedule · outpatient · +27 other terms | 408 | $1.1k | $5.2k | $5.8k | 113% | — | $1 – $46.1k |
| 4 | Cigna fee schedule · outpatient · +24 other terms | 310 | $5.5k | $9.4k | $8.5k | 90% | — | $100 – $36.7k |
| 5 | Humana fee schedule · outpatient · +24 other terms | 277 | $1.1k | $5.9k | $11.1k | 188% | — | $1 – $41.8k |
| 6 | WellCare fee schedule · outpatient · +15 other terms | 133 | $1.1k | $1.2k | $442 | 36% | — | $574 – $2.8k |
| 7 | Anthem facility · fee schedule · outpatient · +22 other terms | 122 | $1.1k | $5.5k | $37.1k | 672% | — | $408 – $698.9k |
| 8 | Molina fee schedule · outpatient · +19 other terms | 110 | $1.3k | $1.4k | $529 | 38% | — | $1 – $3.1k |
| 9 | Ambetter facility · fee schedule · outpatient · +14 other terms | 62 | $1.9k | $2.0k | $457 | 23% | — | $1.0k – $2.6k |
| 10 | Kaiser fee schedule · outpatient · +18 other terms | 62 | $1.3k | $3.5k | $4.4k | 126% | — | $219 – $23.6k |
| 11 | Devoted fee schedule · outpatient · +11 other terms | 58 | $1.1k | $1.1k | $47 | 4% | — | $1.0k – $1.2k |
| 12 | MultiPlan fee schedule · outpatient · +13 other terms | 53 | $8.0k | $7.3k | $5.7k | 79% | — | $911 – $27.4k |
| 13 | Optum fee schedule · outpatient · +16 other terms | 46 | $1.1k | $2.5k | $2.3k | 93% | — | $221 – $9.3k |
| 14 | Caresource fee schedule · outpatient · +13 other terms | 42 | $1.2k | $1.4k | $681 | 48% | — | $1 – $5.5k |
| 15 | Oscar facility · fee schedule · outpatient · +15 other terms | 39 | $1.7k | $1.6k | $250 | 15% | — | $1.1k – $2.0k |
| 16 | Highmark facility · fee schedule · outpatient · +18 other terms | 34 | $1.8k | $2.2k | $1.7k | 76% | — | $408 – $7.8k |
| 17 | Medicare fee schedule · outpatient · +10 other terms | 34 | $1.1k | $1.0k | $22 | 2% | — | $1.0k – $1.2k |
| 18 | Wellmark facility · fee schedule · both · +12 other terms | 34 | $1.7k | $2.6k | $2.7k | 103% | — | $1.1k – $15.1k |
| 19 | Excellus facility · fee schedule · both · +9 other terms | 33 | $1.7k | $3.0k | $2.7k | 90% | — | $1.1k – $15.1k |
| 20 | Carefirst facility · fee schedule · both · +7 other terms | 32 | $1.7k | $2.9k | $2.9k | 99% | — | $1.1k – $15.1k |
| 21 | Premera facility · fee schedule · both · +6 other terms | 32 | $1.7k | $2.9k | $2.9k | 99% | — | $1.1k – $15.1k |
| 22 | Regence facility · fee schedule · both · +14 other terms | 32 | $1.7k | $2.8k | $2.8k | 100% | — | $1.1k – $15.1k |
| 23 | Bcbs Tx fee schedule · outpatient · +4 other terms | 27 | $13.2k | $12.7k | $6.5k | 51% | — | $968 – $24.3k |
| 24 | Clover fee schedule · outpatient · +6 other terms | 26 | $1.1k | $1.1k | $39 | 3% | — | $1.1k – $1.2k |
| 25 | Medica facility · fee schedule · outpatient · +14 other terms | 25 | $1.1k | $1.7k | $1.6k | 94% | — | $1.0k – $7.1k |
← Hospitals reporting HCPCS A9570 · Snapshot 20261111T120946Z-9134e7f7