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
Dispens fee immunosupressive
Low
$0
Average
$56
Median
$50
High
$223
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 4810.0× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +5 other terms | 69 | $175 | $273 | $172 | 63% | — | $0 – $487 |
| 2 | Aetna fee schedule · outpatient · +6 other terms | 40 | $0 | $37 | $54 | 145% | — | $0 – $255 |
| 3 | UnitedHealthcare fee schedule · both · +6 other terms | 26 | $132 | $125 | $17 | 14% | — | $53 – $149 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 20 | $107 | $93 | $96 | 103% | — | $0 – $237 |
| 5 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $58 | $63 | $15 | 23% | — | $39 – $98 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $59 | $63 | $14 | 23% | — | $39 – $100 |
| 7 | Molina facility · case rate · outpatient · +1 other terms | 15 | $58 | $63 | $15 | 23% | — | $40 – $98 |
| 8 | Wellmark fee schedule · both · +1 other terms | 13 | $36 | $36 | $2 | 6% | — | $36 – $50 |
| 9 | Optum facility · case rate · outpatient | 11 | $54 | $60 | $13 | 22% | — | $49 – $89 |
| 10 | Cigna professional · fee schedule · outpatient · +3 other terms | 10 | $30 | $26 | $8 | 32% | — | $7 – $30 |
| 11 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 10 | $139 | $140 | $36 | 25% | — | $84 – $213 |
| 12 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Amerihealth Caritas professional · fee schedule · outpatient | 3 | $2 | $2 | $0 | 2% | — | $2 – $2 |
| 14 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | First Health professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Bcbs Id facility · fee schedule · outpatient | 2 | $72 | $74 | $7 | 10% | — | $65 – $83 |
| 17 | Bcbs Il professional · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 18 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Bcbs Nv fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 20 | Bcbs Vt professional · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 21 | Healthpartners facility · fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
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