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 Thera Par Drugs 2 or > Admin
Low
$14
Average
$68
Median
$54
High
$213
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 3.7× 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 | Molina facility · case rate · outpatient · +6 other terms | 28 | $39 | $43 | $11 | 25% | — | $29 – $74 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 24 | $32 | $55 | $51 | 92% | — | $14 – $242 |
| 3 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 21 | $54 | $62 | $34 | 54% | — | $9 – $203 |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms | 20 | $213 | $187 | $74 | 39% | — | $100 – $389 |
| 5 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $41 | $45 | $11 | 23% | — | $28 – $70 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $42 | $45 | $10 | 23% | — | $28 – $71 |
| 7 | Optum facility · case rate · outpatient | 13 | $37 | $41 | $10 | 24% | — | $31 – $63 |
| 8 | Highmark fee schedule · outpatient · +1 other terms | 11 | $104 | $103 | $7 | 7% | — | $48 – $107 |
| 9 | Humana fee schedule · outpatient · +5 other terms | 11 | $157 | $111 | $50 | 45% | — | $36 – $170 |
| 10 | Cigna professional · fee schedule · outpatient · +2 other terms | 10 | $38 | $34 | $7 | 19% | — | $24 – $38 |
| 11 | Aetna Better Health facility · case rate · outpatient | 7 | $39 | $39 | $0 | 1% | — | $37 – $39 |
| 12 | Amerihealth Caritas facility · case rate · outpatient · +2 other terms | 7 | $36 | $36 | $1 | 3% | — | $36 – $39 |
| 13 | Medica fee schedule · outpatient · +2 other terms | 5 | $69 | $88 | $62 | 70% | — | $45 – $203 |
| 14 | Wellmark facility · case rate · outpatient | 3 | $125 | $109 | $34 | 32% | — | $51 – $138 |
| 15 | Excellus fee schedule · outpatient | 2 | $33 | $33 | $30 | 93% | — | $9 – $72 |
| 16 | Medicaid facility · case rate · outpatient | 2 | $32 | $32 | — | — | — | $32 – $32 |
| 17 | Bcbs Id professional · fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 18 | Bcbs Mn fee schedule · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 19 | Bcbs Nv fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $9 | 11% | — | $68 – $85 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 22 | Regence facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 23 | WellCare facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
← Hospitals reporting HCPCS D9612 · Snapshot 20261111T120946Z-9134e7f7