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
Edetate disodium per 150 mg
Low
$1
Average
$45
Median
$9
High
$232
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 115.2× 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 | UnitedHealthcare fee schedule · outpatient · +12 other terms | 355 | $1 | $1 | $0 | 63% | — | $0 – $2 |
| 2 | Cigna fee schedule · outpatient · +10 other terms | 191 | $2 | $4 | $3 | 72% | — | $1 – $11 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 165 | $2 | $3 | $2 | 67% | — | $0 – $9 |
| 4 | Aetna fee schedule · outpatient · +11 other terms | 91 | $1 | $1 | $1 | 111% | — | $0 – $9 |
| 5 | Humana fee schedule · outpatient · +10 other terms | 70 | $4 | $6 | $4 | 62% | — | $0 – $11 |
| 6 | Kaiser fee schedule · both · +2 other terms | 43 | $1 | $1 | $0 | 36% | — | $0 – $2 |
| 7 | Anthem fee schedule · outpatient · +8 other terms | 35 | $0 | $0 | $0 | 571% | — | $0 – $4 |
| 8 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $5 | $5 | $2 | 33% | — | $2 – $8 |
| 9 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $48 | $52 | $12 | 23% | — | $32 – $82 |
| 10 | Molina facility · case rate · outpatient · +5 other terms | 15 | $47 | $52 | $12 | 23% | — | $33 – $80 |
| 11 | Aetna Better Health fee schedule · outpatient · +3 other terms | 13 | $0 | $0 | $0 | 21% | — | $0 – $0 |
| 12 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $2 | $3 | $2 | 72% | — | $1 – $6 |
| 13 | Regence fee schedule · outpatient · +3 other terms | 12 | $0 | $0 | $0 | 26% | — | $0 – $1 |
| 14 | Optum facility · case rate · outpatient · +3 other terms | 11 | $45 | $49 | $11 | 22% | — | $40 – $73 |
| 15 | Medica fee schedule · outpatient · +6 other terms | 10 | $3 | $3 | $1 | 25% | — | $2 – $4 |
| 16 | Ucare fee schedule · both | 9 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 17 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | First Health facility · fee schedule · outpatient · +6 other terms | 4 | $4 | $4 | — | — | — | $4 – $4 |
| 19 | Bcbs Id facility · fee schedule · outpatient | 3 | $2 | $9 | $9 | 97% | — | $2 – $20 |
| 20 | Highmark facility · fee schedule · outpatient · +3 other terms | 3 | $2 | $2 | $1 | 23% | — | $2 – $3 |
| 21 | Bcbs Ks facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $30 | $30 | $3 | 11% | — | $25 – $35 |
| 22 | Bcbs Sc fee schedule · outpatient · +2 other terms | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 23 | Bcbs Vt professional · fee schedule · outpatient | 2 | $3 | $3 | $1 | 29% | — | $1 – $5 |
| 24 | Devoted facility · fee schedule · outpatient · +1 other terms | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 25 | Oscar facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS J3520 · Snapshot 20261112T181611Z-3fa9fb76