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
CAST SUPPLIES UNLISTED
Low
$16
Average
$134
Median
$28
High
$463
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6 hospital rates
iThe hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $463 | $463 | — | — | — | $463 – $463 |
| 3 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 4 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 5 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 6 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | $1 | 7% | — | $19 – $22 |
← Payers reporting HCPCS Q4050 · Snapshot 20261111T120946Z-9134e7f7