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
Delivery/set up/dispensing
Low
$0
Average
$37
Median
$25
High
$192
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 24.2× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 32 | $50 | $65 | $52 | 80% | — | $25 – $321 |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 29 | $7 | $7 | $5 | 63% | — | $3 – $21 |
| 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 | Wellmark fee schedule · both | 13 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Optum facility · case rate · outpatient · +2 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 9 | Cigna professional · fee schedule · outpatient · +2 other terms | 10 | $41 | $41 | — | — | — | $41 – $41 |
| 10 | Highmark fee schedule · outpatient · +2 other terms | 10 | $48 | $48 | — | — | — | $48 – $48 |
| 11 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $93 | $93 | $1 | 1% | — | $92 – $93 |
| 12 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Humana fee schedule · inpatient · +2 other terms | 5 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Amerihealth Caritas professional · fee schedule · outpatient | 3 | $29 | $29 | $1 | 3% | — | $28 – $30 |
| 15 | First Health professional · fee schedule · both | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Kaiser fee schedule · both | 2 | $192 | $192 | — | — | — | $192 – $192 |
| 17 | Tricare facility · fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 18 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Bcbs Nc facility · fee schedule · outpatient | 1 | $86 | $86 | $38 | 44% | — | $32 – $113 |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 22 | Magellan fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | MultiPlan professional · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 24 | Oscar professional · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
← Hospitals reporting HCPCS A9901 · Snapshot 20261112T124536Z-e251e855