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
HIT declotting kit
Low
$0
Average
$50
Median
$30
High
$205
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 28.8× 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 | Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms | 30 | $158 | $268 | $393 | 146% | — | $0 – $1.9k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 20 | $20 | $46 | $45 | 97% | — | $20 – $200 |
| 3 | Cigna facility · fee schedule · outpatient · +2 other terms | 13 | $39 | $85 | $51 | 60% | — | $24 – $203 |
| 4 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $212 | $272 | $386 | 142% | — | $7 – $1.7k |
| 5 | Highmark fee schedule · outpatient · +3 other terms | 10 | $22 | $22 | — | — | — | $22 – $22 |
| 6 | Medica fee schedule · both · +1 other terms | 9 | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Ucare fee schedule · both · +3 other terms | 9 | $5 | $5 | $0 | 5% | — | $5 – $5 |
| 8 | Anthem professional · fee schedule · outpatient · +2 other terms | 8 | $50 | $50 | — | — | — | $50 – $50 |
| 9 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $21 | $21 | — | — | — | $21 – $21 |
| 10 | Humana fee schedule · inpatient · +1 other terms | 5 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | UnitedHealthcare fee schedule · inpatient · +3 other terms | 5 | $50 | $50 | — | — | — | $50 – $50 |
| 12 | First Health professional · fee schedule · both | 3 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | Molina facility · case rate · outpatient · +1 other terms | 2 | $90 | $90 | $4 | 5% | — | $86 – $94 |
| 14 | Optum facility · fee schedule · outpatient | 2 | $47 | $47 | $3 | 7% | — | $43 – $50 |
| 15 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Bcbs Il professional · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Bcbs Nc facility · fee schedule · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 19 | Bcbs Nv fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 20 | Bcbs Vt professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Bcbs Wy fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 22 | Healthpartners facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | Wellmark case rate · outpatient · +1 other terms | 1 | $59 | $59 | — | — | — | $59 – $59 |
← Hospitals reporting HCPCS S5517 · Snapshot 20261113T090226Z-3ce6c0b8