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
$20
Average
$5.6k
Median
$2.9k
High
$33.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 293.5× 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 | Humana fee schedule · outpatient · +20 other terms | 326 | $30 | $2.1k | $21.5k | 1026% | 120 | $1 – $309.7k |
| 2 | Wellmark fee schedule · outpatient · +14 other terms | 16 | $25 | $25 | $0 | 1% | 2–20 | $24 – $25 |
| 3 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 597 | $49 | $741 | $6.3k | 851% | — | $1 – $159.3k |
| 4 | Aetna fee schedule · outpatient · +24 other terms | 393 | $36 | $1.1k | $14.2k | 1295% | — | $1 – $278.7k |
| 5 | Cigna fee schedule · outpatient · +18 other terms | 346 | $49 | $533 | $2.1k | 386% | — | $23 – $13.7k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 340 | $63 | $457 | $2.7k | 582% | — | $1 – $32.4k |
| 7 | Anthem fee schedule · outpatient · +22 other terms | 129 | $47 | $398 | $2.1k | 522% | — | $23 – $14.0k |
| 8 | WellCare fee schedule · outpatient · +14 other terms | 129 | $30 | $51 | $202 | 397% | — | $20 – $2.5k |
| 9 | Molina fee schedule · outpatient · +20 other terms | 125 | $46 | $414 | $1.7k | 413% | — | $1 – $17.0k |
| 10 | Caresource fee schedule · outpatient · +12 other terms | 87 | $38 | $85 | $464 | 546% | — | $1 – $5.5k |
| 11 | Devoted fee schedule · outpatient · +11 other terms | 63 | $31 | $66 | $296 | 452% | — | $27 – $2.6k |
| 12 | Kaiser fee schedule · outpatient · +15 other terms | 62 | $35 | $69 | $79 | 114% | — | $20 – $476 |
| 13 | Ambetter fee schedule · outpatient · +14 other terms | 56 | $54 | $681 | $2.9k | 419% | — | $22 – $14.9k |
| 14 | Oscar facility · fee schedule · outpatient · +12 other terms | 41 | $35 | $39 | $10 | 25% | — | $28 – $68 |
| 15 | Optum fee schedule · outpatient · +16 other terms | 30 | $29 | $40 | $21 | 52% | — | $24 – $110 |
| 16 | Bcbs Tx fee schedule · outpatient · +2 other terms | 29 | $248 | $232 | $115 | 50% | — | $29 – $462 |
| 17 | Clover fee schedule · outpatient · +7 other terms | 29 | $33 | $31 | $6 | 18% | — | $19 – $38 |
| 18 | Highmark facility · fee schedule · outpatient · +12 other terms | 29 | $40 | $59 | $43 | 73% | — | $25 – $262 |
| 19 | MultiPlan fee schedule · outpatient · +13 other terms | 28 | $74 | $29.5k | $78.8k | 267% | — | $24 – $309.7k |
| 20 | Medica facility · fee schedule · outpatient · +16 other terms | 25 | $40 | $945 | $2.5k | 269% | — | $10 – $8.7k |
| 21 | Medicare fee schedule · outpatient · +8 other terms | 23 | $29 | $29 | $6 | 20% | — | $19 – $37 |
| 22 | Aetna Better Health fee schedule · outpatient · +10 other terms | 22 | $39 | $39 | $11 | 28% | — | $26 – $60 |
| 23 | Regence facility · fee schedule · outpatient · +13 other terms | 21 | $40 | $50 | $30 | 61% | — | $25 – $152 |
| 24 | Medical Mutual facility · fee schedule · outpatient · +4 other terms | 20 | $45 | $52 | $21 | 40% | — | $18 – $104 |
| 25 | Healthpartners fee schedule · outpatient · +7 other terms | 19 | $37 | $37 | $1 | 3% | — | $33 – $37 |
← Hospitals reporting HCPCS J1932 · Snapshot 20261111T120946Z-9134e7f7