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
$34
Average
$376
Median
$342
High
$584
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 2.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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10 hospital rates
iThe hospitals that file a Kaiser 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 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $216 | $307 | $219 | 71% | — | $126 – $819 |
| 2 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $529 | $529 | — | — | — | $529 – $529 |
| 3 | KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN Honolulu, HI facility · percent of total billed charges · bothfrom % of charges | 1 | $366 | $366 | $28 | 8% | — | $338 – $394 |
| 4 | PALI MOMI MEDICAL CENTER Aiea, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | $26 | 8% | — | $307 – $358 |
| 5 | STRAUB CLINIC & HOSPITAL Honolulu, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 6 | UCHealth Estes Valley Medical Center Estes Park, CO percent of total billed charges · inpatientfrom % of charges | 2 | $34 | $34 | $10 | 30% | — | $24 – $44 |
| 7 | UCHealth Estes Valley Medical Center Estes Park, CO percent of total billed charges · outpatientfrom % of charges | 2 | $34 | $34 | $10 | 30% | — | $24 – $44 |
| 8 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $584 | $584 | — | — | — | $584 – $584 |
| 9 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 1 | $584 | $584 | — | — | — | $584 – $584 |
| 10 | WILCOX MEMORIAL HOSPITAL Lihue, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $342 | $342 | $34 | 10% | — | $307 – $376 |
← Payers reporting HCPCS Q4050 · Snapshot 20261111T120946Z-9134e7f7