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
BUPIVACAINE-MELOXICAM ER 200 MG-6 MG/7 ML SURGICAL SITE INSTILL SOLN
Low
$0
Average
$230
Median
$88
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
51 payers; the 90th percentile is 759.8× 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 | Premera other · outpatient · +1 other terms | 1 | $809 | $809 | — | — | 2–20 | $809 – $809 |
| 2 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 295 | $1 | $1 | $0 | 35% | — | $1 – $3 |
| 3 | Aetna fee schedule · outpatient · +16 other terms | 122 | $1 | $7 | $38 | 584% | — | $0 – $322 |
| 4 | Humana fee schedule · outpatient · +17 other terms | 88 | $1 | $10 | $49 | 486% | — | $1 – $322 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +19 other terms | 80 | $1 | $52 | $157 | 300% | — | $0 – $813 |
| 6 | Cigna fee schedule · outpatient · +15 other terms | 65 | $1 | $7 | $39 | 570% | — | $1 – $322 |
| 7 | Anthem fee schedule · outpatient · +16 other terms | 59 | $1 | $1 | $1 | 96% | — | $1 – $6 |
| 8 | WellCare fee schedule · outpatient · +11 other terms | 50 | $1 | $1 | $0 | 6% | — | $1 – $1 |
| 9 | Molina facility · fee schedule · outpatient · +14 other terms | 46 | $1 | $1 | $0 | 31% | — | $0 – $2 |
| 10 | Ambetter fee schedule · outpatient · +9 other terms | 37 | $2 | $2 | $0 | 22% | — | $1 – $3 |
| 11 | Kaiser fee schedule · outpatient · +10 other terms | 36 | $1 | $2 | $1 | 73% | — | $1 – $6 |
| 12 | Devoted fee schedule · outpatient · +8 other terms | 32 | $1 | $15 | $61 | 394% | — | $1 – $322 |
| 13 | Medicare fee schedule · outpatient · +8 other terms | 24 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 14 | Caresource facility · case rate · outpatient · +9 other terms | 20 | $8 | $6 | $4 | 72% | — | $1 – $15 |
| 15 | Optum fee schedule · outpatient · +9 other terms | 18 | $1 | $1 | $1 | 59% | — | $1 – $3 |
| 16 | Regence facility · fee schedule · outpatient · +3 other terms | 16 | $1 | $1 | $0 | 5% | — | $1 – $1 |
| 17 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 14 | $1 | $1 | $0 | 19% | — | $1 – $1 |
| 18 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 12 | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 19 | Sanford Health Plan fee schedule · outpatient · +2 other terms | 11 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 20 | Tricare fee schedule · +5 other terms | 11 | $1 | $1 | $0 | 8% | — | $1 – $1 |
| 21 | Beechstreet percent of total billed charges · bothfrom % of charges · +1 other terms | 10 | $535 | $574 | $188 | 33% | — | $400 – $1.1k |
| 22 | Clover fee schedule · outpatient · +4 other terms | 9 | $1 | $1 | $0 | 6% | — | $1 – $1 |
| 23 | Healthcare Highways facility · percent of total billed charges · bothfrom % of charges · +1 other terms | 9 | $297 | $415 | $133 | 32% | — | $132 – $560 |
| 24 | Highmark facility · fee schedule · outpatient · +4 other terms | 9 | $1 | $1 | $0 | 35% | — | $1 – $2 |
| 25 | Medica fee schedule · outpatient · +8 other terms | 9 | $1 | $49 | $103 | 210% | — | $1 – $322 |
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