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 fee antiem,antica,immuno
Low
$0
Average
$26
Median
$20
High
$106
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 27.4× 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 | Humana fee schedule · outpatient · +6 other terms | 69 | $84 | $131 | $82 | 63% | — | $0 – $234 |
| 2 | Aetna fee schedule · outpatient · +10 other terms | 40 | $0 | $5 | $6 | 114% | — | $0 – $14 |
| 3 | UnitedHealthcare fee schedule · both · +10 other terms | 26 | $64 | $60 | $8 | 14% | — | $25 – $72 |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms | 23 | $13 | $26 | $38 | 145% | — | $2 – $114 |
| 5 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 7 | Molina facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 8 | Wellmark fee schedule · both · +1 other terms | 13 | $15 | $15 | $1 | 9% | — | $15 – $24 |
| 9 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 10 | Cigna professional · fee schedule · outpatient · +5 other terms | 10 | $11 | $11 | $1 | 10% | — | $11 – $14 |
| 11 | Medical Mutual facility · fee schedule · outpatient · +2 other terms | 10 | $67 | $67 | $17 | 25% | — | $40 – $102 |
| 12 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 10 | $23 | $23 | $1 | 4% | — | $22 – $26 |
| 13 | Medica facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 9 | $23 | $23 | $0 | 1% | — | $23 – $23 |
| 14 | Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 9 | $13 | $13 | — | — | — | $13 – $13 |
| 15 | Bcbs Mn fee schedule · both · +2 other terms | 8 | $13 | $13 | $0 | 1% | — | $13 – $13 |
| 16 | Aetna Better Health fee schedule · inpatient · +2 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Amerihealth Caritas professional · fee schedule · outpatient | 3 | $2 | $2 | $0 | 2% | — | $2 – $2 |
| 18 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | First Health professional · fee schedule · both · +4 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Bcbs Id facility · fee schedule · outpatient | 2 | $34 | $36 | $4 | 10% | — | $31 – $40 |
| 21 | Kaiser fee schedule · both | 2 | $66 | $66 | — | — | — | $66 – $66 |
| 22 | Bcbs Il professional · fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Bcbs Nv fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 25 | Bcbs Vt professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
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