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 hydrolyzed/amino acids
Low
$1
Average
$6
Median
$2
High
$65
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
48 payers; the 90th percentile is 10.8× 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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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +10 other terms | 200 | $2 | $3 | $3 | 98% | — | $1 – $11 |
| 2 | Aetna fee schedule · outpatient · +14 other terms | 78 | $2 | $2 | $2 | 85% | — | $1 – $10 |
| 3 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 73 | $2 | $2 | $1 | 39% | — | $1 – $3 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 46 | $3 | $4 | $2 | 64% | — | $0 – $9 |
| 5 | Anthem fee schedule · outpatient · +8 other terms | 42 | $2 | $2 | $0 | 10% | — | $1 – $2 |
| 6 | Cigna fee schedule · outpatient · +11 other terms | 33 | $2 | $2 | $1 | 39% | — | $2 – $5 |
| 7 | Molina case rate · outpatient · +8 other terms | 31 | $2 | $2 | $0 | 16% | — | $1 – $2 |
| 8 | Kaiser fee schedule · outpatient · +5 other terms | 25 | $2 | $2 | $0 | 6% | — | $2 – $2 |
| 9 | Devoted fee schedule · outpatient · +3 other terms | 21 | $2 | $2 | $0 | 10% | — | $2 – $2 |
| 10 | Caresource fee schedule · outpatient · +3 other terms | 18 | $2 | $2 | $0 | 8% | — | $2 – $2 |
| 11 | Medicare fee schedule · outpatient | 18 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | WellCare fee schedule · outpatient · +7 other terms | 15 | $2 | $2 | $0 | 14% | — | $1 – $2 |
| 13 | Wellmark fee schedule · both · +1 other terms | 13 | $2 | $2 | $0 | 5% | — | $1 – $2 |
| 14 | Aetna Better Health fee schedule · outpatient · +4 other terms | 12 | $1 | $1 | $0 | 3% | — | $1 – $2 |
| 15 | Ambetter case rate · outpatient · +5 other terms | 12 | $2 | $2 | $0 | 14% | — | $2 – $3 |
| 16 | Bcbs Mn fee schedule · outpatient · +6 other terms | 12 | $2 | $2 | $0 | 26% | — | $1 – $2 |
| 17 | Bcbs Nj fee schedule · outpatient | 12 | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 12 | $2 | $2 | $0 | 14% | — | $2 – $2 |
| 19 | Highmark fee schedule · outpatient · +4 other terms | 12 | $2 | $2 | $0 | 10% | — | $2 – $3 |
| 20 | Regence fee schedule · outpatient · +3 other terms | 12 | $2 | $2 | $0 | 26% | — | $1 – $4 |
| 21 | Medica fee schedule · outpatient · +7 other terms | 10 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 22 | Medical Mutual facility · fee schedule · outpatient | 10 | $2 | $2 | $0 | 21% | — | $2 – $2 |
| 23 | Optum fee schedule · outpatient · +4 other terms | 10 | $2 | $2 | — | — | — | $2 – $2 |
| 24 | Premera fee schedule · outpatient · +1 other terms | 9 | $3 | $3 | $0 | 16% | — | $2 – $3 |
| 25 | Ucare fee schedule · both · +4 other terms | 9 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS B4153 · Snapshot 20261112T124536Z-e251e855