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
Amifostine
Low
$0
Average
$2.2k
Median
$1.8k
High
$6.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
55 payers; the 90th percentile is 3.9× 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 · +22 other terms | 434 | $941 | $1.4k | $1.4k | 103% | — | $1 – $14.7k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 250 | $2.2k | $2.8k | $2.0k | 71% | — | $0 – $14.2k |
| 3 | Cigna fee schedule · outpatient · +18 other terms | 221 | $2.0k | $3.2k | $2.1k | 66% | — | $556 – $9.3k |
| 4 | Aetna fee schedule · outpatient · +22 other terms | 161 | $2.2k | $2.4k | $1.3k | 52% | — | $631 – $11.1k |
| 5 | Humana fee schedule · outpatient · +16 other terms | 88 | $2.5k | $4.7k | $3.4k | 72% | — | $400 – $9.5k |
| 6 | Anthem fee schedule · outpatient · +17 other terms | 66 | $1.3k | $1.4k | $630 | 45% | — | $475 – $5.1k |
| 7 | Kaiser fee schedule · both · +11 other terms | 43 | $679 | $624 | $167 | 27% | — | $468 – $930 |
| 8 | Molina facility · case rate · outpatient · +16 other terms | 39 | $1.7k | $2.2k | $1.2k | 54% | — | $1.1k – $5.4k |
| 9 | MultiPlan fee schedule · inpatient · +11 other terms | 36 | $3.7k | $5.0k | $4.2k | 84% | — | $750 – $14.7k |
| 10 | Bcbs Tx fee schedule · outpatient · +3 other terms | 30 | $4.8k | $4.3k | $1.4k | 33% | — | $1.8k – $7.5k |
| 11 | Medica fee schedule · outpatient · +10 other terms | 27 | $2.3k | $3.9k | $3.7k | 97% | — | $400 – $14.4k |
| 12 | Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms | 23 | $2.6k | $2.8k | $800 | 29% | — | $1.3k – $4.5k |
| 13 | Regence fee schedule · outpatient · +4 other terms | 19 | $549 | $1.1k | $712 | 63% | — | $477 – $2.3k |
| 14 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 18 | $733 | $580 | $282 | 49% | — | $146 – $907 |
| 15 | Caresource facility · case rate · outpatient · +9 other terms | 16 | $3.2k | $3.2k | $1.2k | 39% | — | $475 – $5.5k |
| 16 | Premera fee schedule · outpatient · +1 other terms | 16 | $2.2k | $2.2k | $456 | 21% | — | $916 – $3.3k |
| 17 | Wellmark fee schedule · outpatient · +5 other terms | 16 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Tricare fee schedule · outpatient · +5 other terms | 14 | $364 | $2.9k | $2.4k | 86% | — | $364 – $6.0k |
| 19 | Aetna Better Health fee schedule · outpatient · +9 other terms | 13 | $1.1k | $787 | $294 | 37% | — | $470 – $1.1k |
| 20 | Ambetter other · outpatient · +7 other terms | 13 | $13.1k | $11.2k | $5.6k | 50% | — | $268 – $17.6k |
| 21 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms | 13 | $3.6k | $3.9k | $945 | 24% | — | $3.5k – $7.1k |
| 22 | Highmark facility · fee schedule · outpatient · +8 other terms | 13 | $1.2k | $1.3k | $552 | 43% | — | $489 – $3.3k |
| 23 | Optum facility · case rate · outpatient · +9 other terms | 13 | $2.9k | $3.0k | $1.1k | 36% | — | $1.1k – $4.9k |
| 24 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $1.1k | $1.1k | $307 | 27% | — | $596 – $1.4k |
| 25 | Bcbs Nj fee schedule · outpatient · +2 other terms | 12 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
← Hospitals reporting HCPCS J0207 · Snapshot 20261112T181611Z-3fa9fb76