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 anti-spasmotic diem
Low
$0
Average
$82
Median
$58
High
$360
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 7.0× 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 | $253 | $315 | $387 | 123% | — | $0 – $1.9k |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 20 | $25 | $57 | $56 | 97% | — | $25 – $250 |
| 3 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $212 | $296 | $371 | 125% | — | $102 – $1.7k |
| 4 | Highmark fee schedule · outpatient · +3 other terms | 10 | $85 | $85 | — | — | — | $85 – $85 |
| 5 | Cigna facility · fee schedule · outpatient · +2 other terms | 9 | $18 | $56 | $108 | 193% | — | $18 – $360 |
| 6 | Medica fee schedule · both · +1 other terms | 9 | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Ucare fee schedule · both · +3 other terms | 9 | $75 | $75 | $4 | 5% | — | $70 – $79 |
| 8 | Anthem professional · fee schedule · outpatient · +2 other terms | 8 | $60 | $60 | — | — | — | $60 – $60 |
| 9 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Humana fee schedule · inpatient · +1 other terms | 5 | $25 | $25 | — | — | — | $25 – $25 |
| 11 | UnitedHealthcare fee schedule · inpatient · +4 other terms | 5 | $67 | $67 | — | — | — | $67 – $67 |
| 12 | First Health professional · fee schedule · both | 3 | $28 | $28 | — | — | — | $28 – $28 |
| 13 | Molina facility · case rate · outpatient · +1 other terms | 2 | $90 | $90 | $4 | 5% | — | $86 – $94 |
| 14 | Optum facility · fee schedule · outpatient | 2 | $45 | $45 | $3 | 7% | — | $42 – $48 |
| 15 | Bcbs Id professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Bcbs Il professional · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 17 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Bcbs Nc facility · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 19 | Bcbs Nv fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 20 | Bcbs Vt professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 21 | Healthpartners facility · fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 22 | Wellmark case rate · outpatient · +1 other terms | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Hospitals reporting HCPCS S9363 · Snapshot 20261113T090226Z-3ce6c0b8