ON-Q pain relief pump, double silver type

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ON-Q PUMP 1 EACH PACKAGE

Payers reporting HCPCS C9804

Payer pricing summary

Low

Average

$771

Median

$647

High

$3.8k

Payer rate distribution

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#
1	Healthpartners facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms	14	$545	$549	$136	25%	173	$286 – $826
2	Aetna other · outpatient · +15 other terms	21	$3.1k	$3.0k	$1.8k	60%	2–20	$526 – $5.3k
3	Anthem other · outpatient · +13 other terms	15	$3.1k	$3.5k	$575	16%	1–10	$697 – $3.8k
4	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$933	$944	$234	25%	1–10	$482 – $1.5k
5	Cigna Healthspring other · outpatient · +1 other terms	1	$548	$548	—	—	1–10	$548 – $548
6	Oscar percent of total billed charges · outpatientfrom % of charges · +2 other terms	70	$592	$898	$640	71%	—	$112 – $3.3k
7	UnitedHealthcare fee schedule · outpatient · +15 other terms	34	$633	$700	$453	65%	—	$1 – $3.0k
8	Medical Mutual facility · percent of total billed charges · bothfrom % of charges	31	$294	$267	$115	43%	—	$67 – $665
9	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	28	$1.4k	$1.7k	$918	55%	—	$369 – $5.4k
10	MultiPlan fee schedule · inpatient · +7 other terms	28	$809	$822	$386	47%	—	$182 – $2.5k
11	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	25	$356	$486	$361	74%	—	$63 – $2.1k
12	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	23	$299	$475	$456	96%	—	$0 – $2.0k
13	Kaiser fee schedule · outpatient · +14 other terms	23	$474	$551	$361	66%	—	$47 – $2.1k
14	First Health fee schedule · inpatient · +8 other terms	19	$715	$670	$283	42%	—	$160 – $1.5k
15	Medcost percent of total billed charges · outpatientfrom % of charges · +3 other terms	19	$1.4k	$3.8k	$3.3k	87%	—	$502 – $11.2k
16	Humana fee schedule · both · +12 other terms	18	$342	$459	$556	121%	—	$42 – $3.1k
17	Molina fee schedule · both · +10 other terms	17	$353	$491	$570	116%	—	$44 – $3.1k
18	Caresource facility · case rate · outpatient · +9 other terms	15	$185	$199	$46	23%	—	$124 – $315
19	Ambetter other · outpatient · +8 other terms	14	$5.3k	$5.3k	$1000	19%	—	$3.8k – $6.2k
20	Cigna fee schedule · both · +13 other terms	14	$402	$603	$509	84%	—	$223 – $3.1k
21	Beechstreet percent of total billed charges · inpatientfrom % of charges · +2 other terms	13	$2.3k	$2.3k	$67	3%	—	$2.2k – $2.4k
22	Ucare facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	13	$593	$593	$6	1%	—	$589 – $602
23	Devoted fee schedule · both · +4 other terms	12	$363	$565	$596	106%	—	$223 – $3.1k
24	Optum facility · case rate · outpatient · +3 other terms	11	$172	$188	$42	22%	—	$155 – $279
25	WellCare fee schedule · both · +6 other terms	10	$366	$403	$117	29%	—	$225 – $649

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