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
Pharmacy
Low
$1
Average
$235
Median
$111
High
$1.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 540.5× 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 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 21 | $3 | $3 | $1 | 39% | — | $1 – $5 |
| 2 | Anthem facility · fee schedule · outpatient · +1 other terms | 5 | $987 | $916 | $373 | 41% | — | $201 – $1.3k |
| 3 | Molina facility · case rate · outpatient · +1 other terms | 4 | $473 | $494 | $122 | 25% | — | $345 – $685 |
| 4 | Humana facility · case rate · outpatient | 3 | $288 | $297 | $14 | 5% | — | $288 – $317 |
| 5 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Wellmark facility · case rate · outpatient | 3 | $1.2k | $1.0k | $321 | 32% | — | $473 – $1.3k |
| 7 | Aetna facility · case rate · outpatient · +2 other terms | 2 | $579 | $579 | $106 | 18% | — | $473 – $685 |
| 8 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 2 | $101 | $34 | $74 | 216% | — | $1 – $201 |
| 9 | Aetna Better Health facility · case rate · outpatient | 1 | $343 | $343 | $12 | 3% | — | $331 – $355 |
| 10 | Amerihealth Caritas facility · case rate · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 11 | Bcbs Ca fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Optum professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS C9034 · Snapshot 20261112T181611Z-3fa9fb76