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
HB-Similac Pm 60/40, per Can
Low
$1
Average
$56
Median
$8
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 15.0× 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 | Regence other · outpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 2 | Humana fee schedule · outpatient · +5 other terms | 69 | $9 | $15 | $9 | 62% | — | $1 – $26 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 47 | $6 | $7 | $7 | 96% | — | $0 – $35 |
| 4 | Aetna fee schedule · outpatient · +10 other terms | 19 | $1 | $3 | $2 | 85% | — | $1 – $8 |
| 5 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 17 | $3 | $3 | $0 | 18% | — | $1 – $3 |
| 6 | Wellmark fee schedule · both · +1 other terms | 13 | $3 | $3 | $0 | 2% | — | $2 – $3 |
| 7 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $487 | $311 | $270 | 87% | — | $3 – $610 |
| 8 | Bcbs Nj fee schedule · outpatient | 12 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Highmark fee schedule · outpatient · +3 other terms | 12 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 10 | Anthem professional · fee schedule · outpatient · +4 other terms | 10 | $1 | $1 | $1 | 58% | — | $0 – $2 |
| 11 | Cigna professional · fee schedule · outpatient · +7 other terms | 10 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Premera fee schedule · outpatient · +1 other terms | 9 | $6 | $5 | $1 | 17% | — | $4 – $7 |
| 13 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Amerihealth Caritas professional · fee schedule · outpatient · +1 other terms | 3 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 16 | Bcbs Id facility · fee schedule · outpatient · +1 other terms | 3 | $3 | $3 | $2 | 58% | — | $1 – $6 |
| 17 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $3 | $3 | $0 | 6% | — | $3 – $3 |
| 18 | First Health professional · fee schedule · both · +3 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Molina facility · fee schedule · outpatient · +5 other terms | 3 | $1 | $3 | $3 | 88% | — | $1 – $7 |
| 20 | MultiPlan percent of total billed charges · bothfrom % of charges · +3 other terms | 3 | $42 | $43 | $10 | 22% | — | $35 – $60 |
| 21 | Medica other · outpatient · +1 other terms | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | Medicaid percent of total billed charges · bothfrom % of charges | 2 | $51 | $51 | $12 | 23% | — | $43 – $68 |
| 23 | Optum facility · fee schedule · outpatient · +1 other terms | 2 | $3 | $3 | $0 | 7% | — | $3 – $3 |
| 24 | Sanford Health Plan facility · fee schedule · outpatient | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 25 | Tricare facility · fee schedule · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
← Hospitals reporting HCPCS B4161 · Snapshot 20261111T120946Z-9134e7f7