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
Ef complet w/intact nutrient
Low
$0
Average
$36
Median
$1
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
47 payers; the 90th percentile is 23.4× 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 | Humana fee schedule · outpatient · +12 other terms | 200 | $0 | $1 | $1 | 98% | — | $0 – $4 |
| 2 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 79 | $0 | $1 | $1 | 77% | — | $0 – $3 |
| 3 | Aetna fee schedule · outpatient · +13 other terms | 78 | $0 | $1 | $1 | 91% | — | $0 – $4 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +12 other terms | 46 | $1 | $2 | $1 | 80% | — | $0 – $5 |
| 5 | Anthem fee schedule · outpatient · +9 other terms | 42 | $0 | $0 | $0 | 14% | — | $0 – $1 |
| 6 | Cigna fee schedule · outpatient · +11 other terms | 33 | $0 | $1 | $0 | 22% | — | $0 – $1 |
| 7 | Molina case rate · outpatient · +7 other terms | 31 | $0 | $1 | $0 | 17% | — | $0 – $1 |
| 8 | Kaiser fee schedule · outpatient · +4 other terms | 25 | $0 | $0 | $0 | 10% | — | $0 – $1 |
| 9 | Devoted fee schedule · outpatient · +3 other terms | 21 | $0 | $0 | $0 | 14% | — | $0 – $1 |
| 10 | Caresource fee schedule · outpatient · +4 other terms | 18 | $0 | $0 | $0 | 10% | — | $0 – $1 |
| 11 | Medicare fee schedule · outpatient | 18 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | WellCare fee schedule · outpatient · +5 other terms | 15 | $0 | $1 | $0 | 16% | — | $0 – $1 |
| 13 | Wellmark fee schedule · both · +1 other terms | 13 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 14 | Aetna Better Health fee schedule · outpatient · +2 other terms | 12 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Ambetter case rate · outpatient · +5 other terms | 12 | $1 | $1 | $0 | 17% | — | $1 – $1 |
| 16 | Bcbs Mn fee schedule · outpatient · +6 other terms | 12 | $1 | $1 | $0 | 26% | — | $0 – $1 |
| 17 | Bcbs Nj fee schedule · outpatient | 12 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 12 | $0 | $1 | $0 | 20% | — | $0 – $1 |
| 19 | Highmark fee schedule · outpatient · +4 other terms | 12 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 20 | Regence fee schedule · outpatient · +3 other terms | 12 | $0 | $0 | $0 | 26% | — | $0 – $1 |
| 21 | Medica fee schedule · outpatient · +8 other terms | 10 | $1 | $1 | $0 | 25% | — | $1 – $1 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 10 | $0 | $1 | $0 | 20% | — | $0 – $1 |
| 23 | Optum fee schedule · outpatient · +4 other terms | 10 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Premera fee schedule · outpatient · +1 other terms | 9 | $1 | $1 | $0 | 16% | — | $1 – $1 |
| 25 | Oscar case rate · outpatient · +1 other terms | 8 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS B4150 · Snapshot 20261112T124536Z-e251e855