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 - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A)
Low
$1
Average
$163
Median
$2
High
$2.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
48 payers; the 90th percentile is 281.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +10 other terms | 150 | $1 | $5 | $6 | 111% | 50 | $1 – $17 |
| 2 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 381 | $2 | $2 | $1 | 45% | — | $1 – $8 |
| 3 | Cigna fee schedule · outpatient · +9 other terms | 282 | $2 | $5 | $16 | 336% | — | $0 – $230 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 219 | $3 | $4 | $4 | 100% | — | $0 – $71 |
| 5 | Aetna fee schedule · outpatient · +11 other terms | 167 | $2 | $3 | $1 | 44% | — | $1 – $15 |
| 6 | Anthem facility · fee schedule · outpatient · +7 other terms | 73 | $3 | $3 | $2 | 55% | — | $1 – $10 |
| 7 | Caresource fee schedule · outpatient · +4 other terms | 54 | $2 | $2 | $1 | 30% | — | $1 – $3 |
| 8 | Kaiser fee schedule · both · +3 other terms | 41 | $2 | $2 | $0 | 26% | — | $1 – $2 |
| 9 | Bcbs Tx fee schedule · outpatient · +3 other terms | 30 | $8 | $7 | $2 | 33% | — | $3 – $12 |
| 10 | Molina fee schedule · outpatient · +6 other terms | 29 | $3 | $3 | $1 | 27% | — | $1 – $4 |
| 11 | Regence professional · fee schedule · outpatient · +3 other terms | 21 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 12 | Healthpartners fee schedule · outpatient · +1 other terms | 18 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 13 | Highmark facility · fee schedule · outpatient · +4 other terms | 18 | $2 | $2 | $1 | 43% | — | $1 – $3 |
| 14 | Aetna Better Health fee schedule · outpatient · +3 other terms | 17 | $1 | $2 | $0 | 16% | — | $1 – $2 |
| 15 | MultiPlan fee schedule · outpatient · +6 other terms | 14 | $2 | $2 | — | — | — | $2 – $2 |
| 16 | WellCare professional · fee schedule · outpatient · +4 other terms | 14 | $1 | $1 | $0 | 4% | — | $1 – $2 |
| 17 | Wellmark fee schedule · both · +2 other terms | 14 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 18 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 13 | $4 | $4 | $1 | 27% | — | $2 – $6 |
| 19 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $2 | $2 | $0 | 22% | — | $1 – $3 |
| 20 | Oscar facility · fee schedule · outpatient · +3 other terms | 12 | $2 | $2 | $0 | 17% | — | $1 – $2 |
| 21 | Ambetter facility · fee schedule · outpatient · +5 other terms | 11 | $2 | $2 | $0 | 11% | — | $1 – $2 |
| 22 | Bcbs Nj fee schedule · outpatient | 11 | $1 | $1 | $0 | 9% | — | $1 – $2 |
| 23 | Optum facility · case rate · outpatient · +3 other terms | 11 | $8 | $9 | $2 | 22% | — | $7 – $13 |
| 24 | Medica fee schedule · outpatient · +8 other terms | 10 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 25 | Tricare facility · fee schedule · outpatient · +1 other terms | 9 | $1 | $961 | $1.8k | 187% | — | $1 – $4.3k |
← Hospitals reporting HCPCS J0887 · Snapshot 20261111T120946Z-9134e7f7