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
HC Ab Aqua Case Kit
Low
$50
Average
$277
Median
$240
High
$763
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.4× 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 | Aetna fee schedule · outpatient · +13 other terms | 361 | $201 | $230 | $107 | 46% | — | $96 – $1.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 358 | $201 | $198 | $49 | 24% | — | $87 – $643 |
| 3 | Humana fee schedule · outpatient · +15 other terms | 316 | $199 | $297 | $320 | 108% | — | $104 – $1.5k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 222 | $204 | $262 | $132 | 50% | — | $0 – $962 |
| 5 | WellCare fee schedule · outpatient · +6 other terms | 208 | $206 | $211 | $31 | 15% | — | $190 – $378 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 165 | $200 | $201 | $5 | 2% | — | $193 – $241 |
| 7 | Molina fee schedule · outpatient · +7 other terms | 140 | $283 | $271 | $102 | 37% | — | $138 – $523 |
| 8 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 116 | $204 | $203 | $7 | 3% | — | $200 – $244 |
| 9 | Cigna fee schedule · outpatient · +13 other terms | 102 | $206 | $227 | $62 | 27% | — | $193 – $582 |
| 10 | Anthem fee schedule · outpatient · +11 other terms | 81 | $197 | $272 | $261 | 96% | — | $130 – $1.5k |
| 11 | Kaiser fee schedule · outpatient · +4 other terms | 64 | $205 | $319 | $224 | 70% | — | $193 – $1.4k |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $210 | $210 | $1 | 0% | — | $196 – $210 |
| 13 | Clover fee schedule · outpatient · +2 other terms | 37 | $200 | $201 | $11 | 5% | — | $190 – $237 |
| 14 | Oscar fee schedule · outpatient · +3 other terms | 36 | $210 | $230 | $49 | 21% | — | $196 – $336 |
| 15 | Ambetter facility · fee schedule · outpatient · +6 other terms | 34 | $357 | $374 | $90 | 24% | — | $190 – $499 |
| 16 | Optum fee schedule · outpatient · +3 other terms | 33 | $200 | $261 | $106 | 40% | — | $192 – $499 |
| 17 | Caresource fee schedule · outpatient · +4 other terms | 28 | $200 | $215 | $53 | 25% | — | $130 – $307 |
| 18 | Regence facility · fee schedule · outpatient · +4 other terms | 19 | $209 | $200 | $16 | 8% | — | $162 – $213 |
| 19 | Amerihealth Caritas fee schedule · outpatient · +2 other terms | 18 | $240 | $233 | $13 | 6% | — | $198 – $240 |
| 20 | Bcbs Tx fee schedule · outpatient | 18 | $196 | $196 | — | — | — | $196 – $196 |
| 21 | Medicare fee schedule · outpatient · +2 other terms | 18 | $193 | $194 | $2 | 1% | — | $193 – $197 |
| 22 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 15 | $199 | $229 | $57 | 25% | — | $108 – $314 |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $181 | $193 | $61 | 32% | — | $88 – $333 |
| 24 | Wellmark fee schedule · both · +1 other terms | 13 | $194 | $192 | $8 | 4% | — | $144 – $194 |
| 25 | Aetna Better Health fee schedule · outpatient · +4 other terms | 12 | $107 | $135 | $41 | 31% | — | $107 – $196 |
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