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
Intrav inf, toci, second dos
Low
$193
Average
$528
Median
$481
High
$1.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
44 payers; the 90th percentile is 1.8× 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 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 284 | $743 | $755 | $304 | 40% | — | $383 – $3.3k |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 119 | $450 | $485 | $129 | 27% | — | $246 – $1.6k |
| 3 | Humana fee schedule · outpatient · +6 other terms | 109 | $441 | $452 | $47 | 10% | — | $402 – $605 |
| 4 | Cigna fee schedule · outpatient · +5 other terms | 66 | $441 | $508 | $228 | 45% | — | $420 – $1.4k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 64 | $663 | $1.3k | $741 | 59% | — | $246 – $3.1k |
| 6 | WellCare fee schedule · outpatient · +4 other terms | 59 | $460 | $484 | $53 | 11% | — | $420 – $605 |
| 7 | Anthem fee schedule · outpatient · +6 other terms | 53 | $441 | $734 | $830 | 113% | — | $383 – $3.2k |
| 8 | Molina facility · fee schedule · outpatient · +6 other terms | 46 | $440 | $457 | $147 | 32% | — | $230 – $1.1k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 35 | $453 | $857 | $753 | 88% | — | $441 – $3.5k |
| 10 | Devoted fee schedule · outpatient · +3 other terms | 34 | $441 | $435 | $16 | 4% | — | $410 – $453 |
| 11 | Ambetter fee schedule · outpatient · +5 other terms | 25 | $1.0k | $941 | $153 | 16% | — | $685 – $1.2k |
| 12 | Optum fee schedule · outpatient · +4 other terms | 23 | $441 | $529 | $332 | 63% | — | $400 – $1.6k |
| 13 | Caresource facility · case rate · outpatient · +4 other terms | 20 | $278 | $402 | $230 | 57% | — | $171 – $901 |
| 14 | Medicare fee schedule · outpatient · +2 other terms | 18 | $441 | $441 | — | — | — | $441 – $441 |
| 15 | Regence facility · fee schedule · outpatient · +1 other terms | 17 | $464 | $469 | $28 | 6% | — | $417 – $558 |
| 16 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 12 | $450 | $450 | $7 | 2% | — | $444 – $473 |
| 17 | Clover fee schedule · outpatient · +2 other terms | 12 | $478 | $461 | $34 | 7% | — | $427 – $503 |
| 18 | Medical Mutual facility · fee schedule · outpatient | 12 | $419 | $507 | $105 | 21% | — | $417 – $659 |
| 19 | Medica facility · other · outpatient · +3 other terms | 11 | $433 | $430 | $15 | 4% | — | $404 – $464 |
| 20 | Tricare fee schedule · outpatient · +3 other terms | 10 | $400 | $409 | $13 | 3% | — | $400 – $428 |
| 21 | Ucare facility · fee schedule · outpatient · +2 other terms | 10 | $463 | $536 | $160 | 30% | — | $435 – $889 |
| 22 | Aetna Better Health facility · case rate · outpatient · +1 other terms | 8 | $211 | $249 | $94 | 38% | — | $211 – $479 |
| 23 | Bcbs Mn fee schedule · outpatient · +2 other terms | 8 | $466 | $464 | $5 | 1% | — | $456 – $466 |
| 24 | Healthpartners facility · fee schedule · outpatient · +1 other terms | 8 | $452 | $558 | $268 | 48% | — | $442 – $1.3k |
| 25 | Sanford Health Plan fee schedule · outpatient · +2 other terms | 8 | $448 | $446 | $4 | 1% | — | $438 – $448 |
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