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 Q4174) PALINGEN OR PROMATRX
Low
$274
Average
$2.1k
Median
$1.4k
High
$8.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 5.3× 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 | UnitedHealthcare fee schedule · outpatient · +11 other terms | 390 | $2.4k | $2.6k | $1.3k | 49% | — | $48 – $13.6k |
| 2 | Cigna fee schedule · outpatient · +13 other terms | 191 | $2.4k | $3.9k | $2.9k | 73% | — | $1.3k – $17.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +12 other terms | 115 | $2.2k | $2.4k | $1.3k | 55% | — | $1 – $13.2k |
| 4 | Aetna fee schedule · outpatient · +16 other terms | 60 | $1.3k | $2.8k | $2.1k | 76% | — | $1.2k – $12.9k |
| 5 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $3.4k | $3.1k | $1.0k | 33% | — | $1.3k – $5.4k |
| 6 | MultiPlan fee schedule · inpatient · +7 other terms | 19 | $8.6k | $11.5k | $7.5k | 65% | — | $1.3k – $29.5k |
| 7 | Anthem facility · fee schedule · outpatient · +11 other terms | 17 | $48 | $1.7k | $1.3k | 75% | — | $48 – $3.2k |
| 8 | Humana fee schedule · outpatient · +7 other terms | 17 | $1.2k | $947 | $348 | 37% | — | $48 – $1.3k |
| 9 | First Health fee schedule · inpatient · +6 other terms | 15 | $11.7k | $10.7k | $6.6k | 62% | — | $1.1k – $26.8k |
| 10 | Caresource fee schedule · outpatient · +7 other terms | 14 | $51 | $50 | $1 | 2% | — | $48 – $51 |
| 11 | Molina fee schedule · outpatient · +7 other terms | 14 | $1.4k | $2.9k | $2.2k | 77% | — | $51 – $7.8k |
| 12 | Bcbs Az facility · fee schedule · outpatient | 13 | $1.6k | $1.7k | $369 | 22% | — | $615 – $2.1k |
| 13 | Oscar facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 13 | $584 | $573 | $42 | 7% | — | $520 – $627 |
| 14 | Wellmark fee schedule · both · +2 other terms | 13 | $1.3k | $1.3k | $85 | 6% | — | $801 – $1.3k |
| 15 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1.2k | $786 | $688 | 88% | — | $0 – $1.5k |
| 16 | Bcbs Nj fee schedule · outpatient · +1 other terms | 12 | $1.3k | $1.3k | $38 | 3% | — | $1.2k – $1.3k |
| 17 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 12 | $305 | $280 | $87 | 31% | — | $3 – $332 |
| 18 | Highmark fee schedule · outpatient · +3 other terms | 12 | $1.4k | $1.4k | $183 | 13% | — | $1.3k – $3.4k |
| 19 | WellCare facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 12 | $763 | $762 | $64 | 8% | — | $697 – $830 |
| 20 | Kaiser fee schedule · outpatient · +4 other terms | 11 | $7.7k | $8.1k | $5.7k | 71% | — | $923 – $23.6k |
| 21 | Medica fee schedule · outpatient · +4 other terms | 10 | $2.6k | $2.6k | $655 | 25% | — | $1.6k – $3.4k |
| 22 | Phcs percent of total billed charges · outpatientfrom % of charges · +3 other terms | 9 | $2.2k | $1.6k | $671 | 43% | — | $801 – $2.2k |
| 23 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Excellus facility · fee schedule · outpatient | 5 | $2.2k | $2.5k | $1.5k | 60% | — | $1.4k – $6.4k |
← Hospitals reporting HCPCS Q4174 · Snapshot 20261112T181611Z-3fa9fb76