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 Q4168) AMNIOBAND, 1 MG
Low
$1
Average
$1.1k
Median
$700
High
$4.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 139.4× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna fee schedule · outpatient · +17 other terms | 203 | $33 | $586 | $1.8k | 313% | — | $2 – $10.9k |
| 2 | Aetna fee schedule · outpatient · +15 other terms | 71 | $18 | $2.3k | $3.7k | 161% | — | $14 – $15.0k |
| 3 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 52 | $208 | $2.8k | $3.7k | 135% | — | $5 – $14.0k |
| 4 | Blue Cross Blue Shield facility · fee schedule · outpatient · +17 other terms | 34 | $17 | $86 | $231 | 270% | — | $0 – $1.5k |
| 5 | MultiPlan fee schedule · inpatient · +9 other terms | 26 | $8.6k | $6.1k | $5.1k | 84% | — | $31 – $15.3k |
| 6 | Oscar facility · percent of total billed charges · bothfrom % of charges · +5 other terms | 22 | $22 | $23 | $7 | 31% | — | $8 – $32 |
| 7 | Anthem fee schedule · outpatient · +14 other terms | 20 | $2.8k | $4.3k | $4.3k | 101% | — | $22 – $13.4k |
| 8 | Molina fee schedule · outpatient · +9 other terms | 19 | $2.0k | $1.9k | $1.4k | 74% | — | $18 – $5.9k |
| 9 | Healthpartners fee schedule · outpatient · +1 other terms | 18 | $20 | $20 | $0 | 2% | — | $20 – $21 |
| 10 | Medcost percent of total billed charges · inpatientfrom % of charges · +4 other terms | 17 | $739 | $708 | $219 | 31% | — | $292 – $1.3k |
| 11 | Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms | 16 | $1.2k | $1.2k | $35 | 3% | — | $1.2k – $1.3k |
| 12 | Medica fee schedule · outpatient · +7 other terms | 15 | $32 | $34 | $8 | 22% | — | $21 – $45 |
| 13 | Caresource fee schedule · outpatient · +4 other terms | 14 | $208 | $200 | $220 | 110% | — | $48 – $524 |
| 14 | Humana fee schedule · outpatient · +13 other terms | 14 | $18 | $518 | $1.0k | 198% | — | $17 – $3.3k |
| 15 | Kaiser fee schedule · outpatient · +9 other terms | 14 | $5.2k | $5.1k | $2.8k | 55% | — | $36 – $10.7k |
| 16 | Clover facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 12 | $83 | $76 | $106 | 140% | — | $0 – $237 |
| 17 | Bcbs Nj fee schedule · outpatient | 10 | $17 | $17 | — | — | — | $17 – $17 |
| 18 | First Health fee schedule · outpatient · +9 other terms | 10 | $7.7k | $7.1k | $3.1k | 43% | — | $2.2k – $12.2k |
| 19 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 10 | $47 | $48 | $12 | 25% | — | $29 – $73 |
| 20 | Superior Healthplan percent of total billed charges · outpatientfrom % of charges | 9 | $26 | $24 | $11 | 46% | — | $2 – $45 |
| 21 | Cigna Healthspring percent of total billed charges · outpatientfrom % of charges | 8 | $3.3k | $3.2k | $1.3k | 41% | — | $253 – $4.7k |
| 22 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges | 8 | $139 | $130 | $44 | 34% | — | $10 – $216 |
| 23 | Aetna Better Health fee schedule · inpatient · +3 other terms | 7 | $18 | $18 | — | — | — | $18 – $18 |
| 24 | Ambetter other · outpatient · +6 other terms | 6 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | Amerihealth Caritas other · outpatient · +3 other terms | 6 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
← Hospitals reporting HCPCS Q4168 · Snapshot 20261111T120946Z-9134e7f7