Embryo cryopreservation storage monitoring, 30 days

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Monit store cryo embryo 30 d

Payers reporting HCPCS S4040

Payer pricing summary

Low

Average

$77

Median

$48

High

$450

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	33	$36	$28	$30	106%	—	$0 – $156
2	Molina facility · case rate · outpatient · +5 other terms	29	$38	$52	$32	61%	—	$16 – $152
3	Aetna fee schedule · outpatient · +7 other terms	24	$34	$72	$62	87%	—	$22 – $221
4	UnitedHealthcare facility · case rate · outpatient · +6 other terms	17	$24	$32	$16	51%	—	$16 – $68
5	Anthem facility · case rate · outpatient · +6 other terms	15	$23	$25	$6	23%	—	$15 – $38
6	Caresource facility · case rate · outpatient · +1 other terms	15	$23	$25	$6	23%	—	$15 – $39
7	Optum facility · case rate · outpatient · +1 other terms	13	$22	$29	$14	48%	—	$19 – $59
8	Wellmark fee schedule · both · +1 other terms	13	$28	$28	—	—	—	$28 – $28
9	Cigna facility · fee schedule · outpatient · +4 other terms	12	$10	$12	$4	29%	—	$9 – $22
10	Humana fee schedule · outpatient · +5 other terms	9	$22	$80	$64	81%	—	$22 – $152
11	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$23	$23	—	—	—	$23 – $23
12	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$68	$69	$2	3%	—	$68 – $75
13	First Health professional · fee schedule · both	3	$24	$24	—	—	—	$24 – $24
14	Medicaid facility · case rate · outpatient	2	$62	$62	—	—	—	$62 – $62
15	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	2	$40	$40	—	—	—	$40 – $40
16	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
17	Bcbs Nc facility · fee schedule · outpatient	1	$450	$450	—	—	—	$450 – $450
18	Bcbs Nv fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
19	Bcbs Vt professional · fee schedule · outpatient	1	$36	$36	—	—	—	$36 – $36
20	WellCare facility · case rate · outpatient · +1 other terms	1	$62	$62	—	—	—	$62 – $62