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
$15
Average
$1.5k
Median
$1.0k
High
$7.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
58 payers; the 90th percentile is 126.2× 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 · +20 other terms | 369 | $29 | $515 | $1.5k | 300% | 120 | $0 – $15.7k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 361 | $42 | $306 | $1.4k | 460% | 13–130 | $0 – $14.2k |
| 3 | Wellmark fee schedule · outpatient · +10 other terms | 16 | $29 | $28 | $1 | 3% | 4–40 | $27 – $29 |
| 4 | Anthem fee schedule · outpatient · +24 other terms | 130 | $41 | $155 | $649 | 418% | 2–20 | $25 – $8.0k |
| 5 | Aetna fee schedule · outpatient · +24 other terms | 414 | $34 | $460 | $1.5k | 321% | 1–10 | $1 – $14.1k |
| 6 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 627 | $45 | $306 | $1.3k | 418% | — | $0 – $14.7k |
| 7 | Cigna fee schedule · outpatient · +19 other terms | 378 | $43 | $285 | $940 | 330% | — | $20 – $8.4k |
| 8 | Molina fee schedule · outpatient · +23 other terms | 144 | $43 | $250 | $639 | 256% | — | $1 – $4.8k |
| 9 | WellCare fee schedule · outpatient · +14 other terms | 127 | $29 | $228 | $621 | 272% | — | $27 – $3.1k |
| 10 | Kaiser fee schedule · outpatient · +17 other terms | 78 | $46 | $542 | $1.2k | 230% | — | $23 – $8.3k |
| 11 | Caresource fee schedule · outpatient · +15 other terms | 77 | $33 | $119 | $551 | 463% | — | $1 – $6.2k |
| 12 | MultiPlan fee schedule · outpatient · +12 other terms | 76 | $3.9k | $4.8k | $4.4k | 91% | — | $29 – $15.7k |
| 13 | Ambetter facility · fee schedule · outpatient · +14 other terms | 71 | $51 | $284 | $1.1k | 373% | — | $28 – $6.6k |
| 14 | Devoted fee schedule · outpatient · +9 other terms | 68 | $29 | $41 | $122 | 298% | — | $26 – $1.3k |
| 15 | Optum fee schedule · outpatient · +13 other terms | 43 | $29 | $718 | $1.0k | 144% | — | $25 – $3.3k |
| 16 | Medica fee schedule · outpatient · +15 other terms | 35 | $739 | $3.1k | $4.5k | 143% | — | $30 – $14.4k |
| 17 | Highmark facility · fee schedule · outpatient · +12 other terms | 33 | $37 | $49 | $28 | 58% | — | $14 – $147 |
| 18 | Bcbs Tx fee schedule · outpatient · +3 other terms | 31 | $93 | $86 | $37 | 43% | — | $27 – $165 |
| 19 | Oscar facility · fee schedule · outpatient · +11 other terms | 27 | $37 | $39 | $8 | 20% | — | $28 – $53 |
| 20 | Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms | 26 | $29 | $375 | $1.3k | 349% | — | $28 – $7.7k |
| 21 | Clover fee schedule · outpatient · +5 other terms | 24 | $31 | $30 | $2 | 7% | — | $27 – $34 |
| 22 | Aetna Better Health fee schedule · outpatient · +13 other terms | 23 | $29 | $29 | $2 | 6% | — | $25 – $32 |
| 23 | Medical Mutual facility · fee schedule · outpatient · +8 other terms | 21 | $53 | $60 | $28 | 47% | — | $16 – $122 |
| 24 | Medicare fee schedule · outpatient · +9 other terms | 21 | $28 | $28 | $1 | 2% | — | $25 – $31 |
| 25 | Regence facility · fee schedule · outpatient · +11 other terms | 21 | $30 | $34 | $11 | 32% | — | $24 – $64 |
← Hospitals reporting HCPCS J2407 · Snapshot 20261111T120946Z-9134e7f7