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
Sup/ext non-ins inf pump syr
Low
$1
Average
$5
Median
$4
High
$28
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
52 payers; the 90th percentile is 3.0× 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 · +7 other terms | 316 | $3 | $5 | $5 | 100% | — | $2 – $26 |
| 2 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 308 | $4 | $3 | $0 | 13% | — | $2 – $4 |
| 3 | Aetna fee schedule · outpatient · +6 other terms | 294 | $4 | $4 | $2 | 51% | — | $1 – $24 |
| 4 | WellCare fee schedule · outpatient · +4 other terms | 200 | $4 | $4 | $1 | 16% | — | $3 – $7 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 190 | $4 | $4 | $2 | 54% | — | $0 – $36 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 177 | $3 | $4 | $0 | 3% | — | $3 – $4 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 123 | $4 | $4 | $0 | 3% | — | $3 – $4 |
| 8 | Molina fee schedule · outpatient · +4 other terms | 102 | $4 | $5 | $2 | 38% | — | $3 – $9 |
| 9 | Cigna fee schedule · outpatient · +5 other terms | 90 | $4 | $4 | $1 | 29% | — | $3 – $10 |
| 10 | Anthem fee schedule · outpatient · +6 other terms | 76 | $3 | $4 | $1 | 15% | — | $3 – $7 |
| 11 | Superior Healthplan fee schedule · outpatient | 41 | $4 | $4 | $0 | 1% | — | $3 – $4 |
| 12 | Clover fee schedule · outpatient · +1 other terms | 39 | $3 | $4 | $0 | 4% | — | $3 – $4 |
| 13 | Kaiser fee schedule · outpatient · +4 other terms | 39 | $3 | $3 | $0 | 3% | — | $3 – $4 |
| 14 | Bcbs Tx fee schedule · outpatient | 31 | $3 | $3 | $1 | 29% | — | $2 – $12 |
| 15 | Optum fee schedule · outpatient · +2 other terms | 28 | $3 | $4 | $2 | 40% | — | $3 – $9 |
| 16 | Oscar fee schedule · outpatient · +2 other terms | 24 | $3 | $4 | $0 | 3% | — | $3 – $4 |
| 17 | Caresource facility · case rate · outpatient · +4 other terms | 20 | $15 | $14 | $6 | 44% | — | $4 – $27 |
| 18 | Medicare fee schedule · outpatient | 18 | $3 | $3 | $0 | 2% | — | $3 – $4 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $4 | $4 | $0 | 2% | — | $4 – $4 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $3 | $3 | $0 | 4% | — | $2 – $3 |
| 21 | Aetna Better Health fee schedule · outpatient · +2 other terms | 12 | $2 | $2 | $1 | 33% | — | $2 – $3 |
| 22 | Ambetter case rate · outpatient · +5 other terms | 12 | $5 | $5 | $0 | 5% | — | $5 – $6 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $3 | $3 | $1 | 26% | — | $2 – $4 |
| 24 | Bcbs Nj fee schedule · outpatient | 12 | $3 | $7 | $5 | 68% | — | $3 – $15 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 12 | $6 | $7 | $2 | 27% | — | $4 – $9 |
← Hospitals reporting HCPCS K0552 · Snapshot 20261112T181611Z-3fa9fb76