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
HC (SUP SHELL Q4112) CYMETRA INJECTABLE
Low
$4
Average
$905
Median
$868
High
$2.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
44 payers; the 90th percentile is 5.7× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna fee schedule · outpatient · +17 other terms | 181 | $1.6k | $2.6k | $1.8k | 67% | — | $585 – $7.5k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 115 | $872 | $845 | $448 | 53% | — | $0 – $3.5k |
| 3 | Humana fee schedule · outpatient · +16 other terms | 74 | $3.1k | $3.6k | $2.9k | 80% | — | $1 – $7.4k |
| 4 | UnitedHealthcare fee schedule · outpatient · +16 other terms | 68 | $872 | $789 | $364 | 46% | — | $1 – $1.7k |
| 5 | Aetna facility · fee schedule · outpatient · +17 other terms | 49 | $1.8k | $1.8k | $726 | 40% | — | $282 – $3.4k |
| 6 | Bcbs Tx fee schedule · outpatient · +2 other terms | 30 | $981 | $891 | $297 | 33% | — | $364 – $1.5k |
| 7 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $892 | $892 | — | — | — | $892 – $892 |
| 8 | Medcost percent of total billed charges · bothfrom % of charges · +2 other terms | 25 | $659 | $660 | $155 | 23% | — | $524 – $1.9k |
| 9 | Aetna Better Health other · outpatient · +4 other terms | 19 | $211 | $279 | $248 | 89% | — | $128 – $1.3k |
| 10 | Amerihealth Caritas other · outpatient · +3 other terms | 19 | $211 | $278 | $248 | 89% | — | $128 – $1.3k |
| 11 | Anthem facility · case rate · outpatient · +11 other terms | 16 | $985 | $917 | $453 | 49% | — | $49 – $1.7k |
| 12 | Caresource facility · case rate · outpatient · +5 other terms | 16 | $1.0k | $969 | $410 | 42% | — | $49 – $1.7k |
| 13 | Molina facility · case rate · outpatient · +10 other terms | 15 | $998 | $1.1k | $254 | 23% | — | $699 – $1.7k |
| 14 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $888 | $651 | $451 | 69% | — | $1 – $1.1k |
| 15 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 12 | $125 | $114 | $36 | 32% | — | $1 – $138 |
| 16 | Optum facility · case rate · outpatient · +7 other terms | 11 | $940 | $1.0k | $231 | 22% | — | $848 – $1.5k |
| 17 | Oscar facility · percent of total billed charges · inpatientfrom % of charges · +4 other terms | 11 | $1.1k | $1.1k | $1 | 0% | — | $1.1k – $1.2k |
| 18 | Medica fee schedule · outpatient · +7 other terms | 10 | $1.8k | $1.8k | $445 | 25% | — | $1.1k – $2.3k |
| 19 | MultiPlan other · inpatient · +11 other terms | 9 | $948 | $778 | $205 | 26% | — | $452 – $948 |
| 20 | First Health other · inpatient · +11 other terms | 7 | $647 | $620 | $69 | 11% | — | $493 – $680 |
| 21 | WellCare other · outpatient · +4 other terms | 7 | $653 | $574 | $193 | 34% | — | $145 – $767 |
| 22 | Ambetter other · outpatient · +2 other terms | 5 | $653 | $622 | $75 | 12% | — | $507 – $710 |
| 23 | Cigna Healthspring other · outpatient | 5 | $647 | $616 | $74 | 12% | — | $502 – $703 |
| 24 | Tricare fee schedule · outpatient · +4 other terms | 5 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Bcbs Id facility · fee schedule · outpatient · +1 other terms | 3 | $211 | $520 | $442 | 85% | — | $135 – $1.1k |
← Hospitals reporting HCPCS Q4112 · Snapshot 20261112T181611Z-3fa9fb76