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
HC (SUP SHELL C2645) BRACHYTX PLANAR, P-103
Low
$2
Average
$5.4k
Median
$7
High
$238.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 200.2× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 236 | $5 | $122 | $1.2k | 989% | — | $2 – $19k |
| 2 | Aetna fee schedule · outpatient · +10 other terms | 230 | $5 | $245 | $2.9k | 1172% | — | $3 – $39k |
| 3 | Humana fee schedule · outpatient · +8 other terms | 186 | $5 | $11 | $47 | 432% | — | $4 – $370 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 161 | $12 | $19 | $29 | 154% | — | $0 – $377 |
| 5 | Cigna fee schedule · outpatient · +7 other terms | 109 | $5 | $1.5k | $7.1k | 465% | — | $4 – $55k |
| 6 | WellCare fee schedule · outpatient · +6 other terms | 101 | $5 | $65 | $246 | 376% | — | $4 – $1.1k |
| 7 | Molina fee schedule · outpatient · +9 other terms | 82 | $5 | $172 | $492 | 285% | — | $4 – $2.8k |
| 8 | Anthem fee schedule · outpatient · +7 other terms | 70 | $5 | $187 | $533 | 284% | — | $4 – $2.4k |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 54 | $5 | $5 | $0 | 6% | — | $4 – $5 |
| 10 | Kaiser fee schedule · outpatient · +2 other terms | 53 | $6 | $8 | $6 | 75% | — | $4 – $37 |
| 11 | Ambetter facility · fee schedule · outpatient · +6 other terms | 40 | $8 | $9 | $2 | 24% | — | $5 – $12 |
| 12 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $20 | $20 | $9 | 45% | — | $4 – $37 |
| 13 | Optum fee schedule · outpatient · +4 other terms | 32 | $5 | $2.1k | $9.2k | 443% | — | $4 – $47k |
| 14 | Clover fee schedule · outpatient · +2 other terms | 24 | $5 | $5 | $0 | 7% | — | $4 – $6 |
| 15 | Caresource facility · case rate · outpatient · +5 other terms | 23 | $269 | $174 | $158 | 91% | — | $5 – $485 |
| 16 | Regence facility · fee schedule · outpatient · +1 other terms | 21 | $5 | $6 | $4 | 63% | — | $4 – $19 |
| 17 | Medicare fee schedule · outpatient · +1 other terms | 19 | $5 | $5 | $0 | 2% | — | $5 – $5 |
| 18 | Highmark fee schedule · outpatient · +2 other terms | 16 | $6 | $33 | $233 | 710% | — | $2 – $2.8k |
| 19 | MultiPlan fee schedule · outpatient · +6 other terms | 16 | $8 | $4.5k | $17.3k | 389% | — | $5 – $79k |
| 20 | Oscar facility · fee schedule · outpatient · +3 other terms | 16 | $6 | $6 | $1 | 11% | — | $5 – $7 |
| 21 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 14 | $5 | $5 | $0 | 10% | — | $5 – $7 |
| 22 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $624 | $432 | $463 | 107% | — | $5 – $1.0k |
| 23 | Bcbs Nj fee schedule · outpatient · +3 other terms | 12 | $5 | $11 | $7 | 67% | — | $5 – $23 |
| 24 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 12 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | Tricare fee schedule · outpatient · +2 other terms | 12 | $4 | $4 | $0 | 5% | — | $4 – $5 |
← Hospitals reporting HCPCS C2645 · Snapshot 20261112T181611Z-3fa9fb76