5%dextrose/0.45%saline1000ml

Payers reporting HCPCS S5013

Payer pricing summary

Low

Average

$73

Median

$24

High

$909

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	29	$9	$57	$209	364%	—	$7 – $998
2	Anthem facility · case rate · outpatient · +6 other terms	15	$15	$17	$4	23%	—	$10 – $26
3	Caresource facility · case rate · outpatient · +2 other terms	15	$16	$17	$4	23%	—	$10 – $27
4	Molina facility · case rate · outpatient · +1 other terms	15	$15	$17	$4	23%	—	$11 – $26
5	UnitedHealthcare facility · case rate · outpatient · +6 other terms	15	$16	$17	$4	23%	—	$11 – $27
6	Aetna fee schedule · both · +6 other terms	13	$59	$59	$0	0%	—	$59 – $60
7	Bcbs Mn fee schedule · outpatient · +3 other terms	11	$1.1k	$1.1k	$334	30%	—	$597 – $1.4k
8	Optum facility · case rate · outpatient · +2 other terms	11	$14	$16	$4	22%	—	$13 – $24
9	Medica fee schedule · both · +1 other terms	9	$16	$16	—	—	—	$16 – $16
10	Ucare fee schedule · both · +3 other terms	9	$16	$16	$1	5%	—	$15 – $17
11	Bcbs La fee schedule · outpatient · +1 other terms	6	$12	$12	—	—	—	$12 – $12
12	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$6	$6	—	—	—	$6 – $6
13	Humana facility · other · outpatient · +2 other terms	2	$23	$23	$3	15%	—	$19 – $26
14	Ambetter percent of total billed charges · bothfrom % of charges	1	$26	$26	$2	7%	—	$24 – $28
15	Bcbs Ca facility · other · outpatient · +2 other terms	1	$86	$86	$12	14%	—	$68 – $106
16	Bcbs Nc facility · fee schedule · outpatient	1	$7	$7	—	—	—	$7 – $7
17	Bcbs Vt professional · fee schedule · outpatient	1	$11	$11	—	—	—	$11 – $11
18	Cigna fee schedule · outpatient · +5 other terms	1	$8	$8	—	—	—	$8 – $8
19	First Health facility · percent of total billed charges · outpatientfrom % of charges	1	$94	$94	—	—	—	$94 – $94
20	Kaiser facility · other · outpatient · +1 other terms	1	$45	$45	—	—	—	$45 – $45
21	Magellan facility · percent of total billed charges · outpatientfrom % of charges	1	$77	$77	—	—	—	$77 – $77
22	Medicaid percent of total billed charges · outpatientfrom % of charges	1	$16	$16	—	—	—	$16 – $16
23	Medicare fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
24	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$103	$103	—	—	—	$103 – $103
25	Oscar facility · percent of total billed charges · outpatientfrom % of charges	1	$71	$71	—	—	—	$71 – $71

Page 1 of 2 · 28 payers

← Hospitals reporting HCPCS S5013 · Snapshot 20261113T090226Z-3ce6c0b8