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
LOCM .> = 400 MG/ML 1 ML
Low
$0
Average
$593
Median
$5
High
$11.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
38 payers; the 90th percentile is 975.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +10 other terms | 64 | $3 | $3 | $2 | 48% | — | $0 – $12 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +12 other terms | 51 | $1 | $21 | $77 | 373% | — | $0 – $494 |
| 3 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 30 | $1 | $75 | $171 | 229% | — | $0 – $1.0k |
| 4 | Anthem facility · case rate · outpatient · +9 other terms | 15 | $23 | $25 | $6 | 23% | — | $15 – $38 |
| 5 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $23 | $25 | $6 | 23% | — | $15 – $39 |
| 6 | Molina facility · case rate · outpatient · +6 other terms | 15 | $23 | $25 | $6 | 23% | — | $16 – $38 |
| 7 | Highmark fee schedule · outpatient · +5 other terms | 13 | $0 | $0 | $0 | 12% | — | $0 – $0 |
| 8 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $412 | $262 | $229 | 87% | — | $0 – $516 |
| 9 | Bcbs Nj fee schedule · outpatient | 12 | $1 | $1 | $0 | 38% | — | $1 – $2 |
| 10 | Kaiser fee schedule · outpatient · +3 other terms | 12 | $4 | $45 | $71 | 159% | — | $0 – $267 |
| 11 | Optum facility · case rate · outpatient · +3 other terms | 11 | $21 | $23 | $5 | 22% | — | $19 – $35 |
| 12 | Cigna fee schedule · outpatient · +9 other terms | 10 | $18 | $57 | $105 | 183% | — | $0 – $503 |
| 13 | Medica fee schedule · outpatient · +6 other terms | 10 | $1 | $1 | $0 | 25% | — | $1 – $1 |
| 14 | Medicaid fee schedule · outpatient | 10 | $5 | $71 | $202 | 285% | — | $4 – $711 |
| 15 | MultiPlan fee schedule · outpatient · +7 other terms | 10 | $41 | $104 | $177 | 169% | — | $1 – $842 |
| 16 | Ambetter facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 9 | $5 | $5 | — | — | — | $5 – $5 |
| 17 | First Health fee schedule · inpatient · +7 other terms | 9 | $71 | $97 | $158 | 163% | — | $1 – $739 |
| 18 | Ucare fee schedule · both | 9 | $0 | $0 | $0 | 3% | — | $0 – $0 |
| 19 | Aetna Better Health fee schedule · inpatient · +4 other terms | 7 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Humana fee schedule · outpatient · +7 other terms | 6 | $1 | $2 | $1 | 88% | — | $1 – $5 |
| 21 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $6 | $6 | $0 | 6% | — | $6 – $7 |
| 22 | Phcs professional · fee schedule · outpatient · +4 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Beechstreet percent of total billed charges · outpatientfrom % of charges | 2 | $6.5k | $6.5k | $2.2k | 34% | — | $4.3k – $8.8k |
| 24 | Excellus fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Amerihealth Caritas percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Hospitals reporting HCPCS Q9951 · Snapshot 20261111T120946Z-9134e7f7