Backup hand pump for ventricular assist device

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

emr hd pmp elec/combo, rep

Payers reporting HCPCS Q0494

Payer pricing summary

Low

$67

Average

$385

Median

$307

High

$2.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +12 other terms	364	$267	$267	$62	23%	—	$115 – $856
2	Aetna fee schedule · outpatient · +11 other terms	358	$267	$301	$154	51%	—	$115 – $1.7k
3	Humana fee schedule · outpatient · +11 other terms	329	$266	$399	$412	103%	—	$121 – $2.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	223	$271	$343	$189	55%	—	$0 – $1.3k
5	WellCare fee schedule · outpatient · +5 other terms	210	$274	$281	$42	15%	—	$253 – $503
6	Devoted fee schedule · outpatient · +3 other terms	165	$266	$267	$6	2%	—	$257 – $321
7	Molina fee schedule · outpatient · +6 other terms	137	$379	$366	$137	37%	—	$183 – $696
8	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$271	$271	$9	3%	—	$266 – $324
9	Cigna fee schedule · outpatient · +11 other terms	109	$274	$311	$96	31%	—	$235 – $774
10	Anthem fee schedule · outpatient · +6 other terms	81	$262	$361	$348	96%	—	$173 – $2.0k
11	Kaiser fee schedule · outpatient · +3 other terms	64	$273	$425	$297	70%	—	$257 – $1.9k
12	Ambetter facility · fee schedule · outpatient · +6 other terms	42	$422	$479	$119	25%	—	$253 – $664
13	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$279	$279	$1	0%	—	$260 – $279
14	Optum fee schedule · outpatient · +3 other terms	39	$266	$353	$157	44%	—	$212 – $664
15	Clover fee schedule · outpatient · +2 other terms	37	$266	$267	$14	5%	—	$253 – $315
16	Oscar fee schedule · outpatient · +4 other terms	35	$279	$303	$61	20%	—	$260 – $446
17	Caresource fee schedule · outpatient · +4 other terms	28	$266	$286	$71	25%	—	$173 – $408
18	Regence facility · fee schedule · outpatient · +3 other terms	19	$278	$267	$21	8%	—	$215 – $284
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	18	$319	$310	$18	6%	—	$263 – $319
20	Bcbs Tx fee schedule · outpatient	18	$260	$260	—	—	—	$260 – $260
21	Medicare fee schedule · outpatient · +1 other terms	18	$257	$258	$2	1%	—	$257 – $262
22	Tricare facility · fee schedule · outpatient · +3 other terms	16	$258	$2.6k	$9.1k	349%	—	$232 – $37.8k
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$264	$305	$75	25%	—	$144 – $417
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$240	$240	$56	23%	—	$117 – $281
25	Highmark facility · fee schedule · outpatient · +6 other terms	13	$446	$426	$172	41%	—	$248 – $730

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