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
Pharmacy comp/disp serv
Low
$0
Average
$100
Median
$35
High
$416
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 185.0× 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 | Aetna fee schedule · outpatient · +7 other terms | 31 | $0 | $5 | $14 | 258% | — | $0 – $57 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 16 | $3 | $8 | $19 | 248% | — | $0 – $87 |
| 3 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $367 | $402 | $94 | 23% | — | $250 – $623 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $374 | $402 | $92 | 23% | — | $250 – $635 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 15 | $367 | $402 | $93 | 23% | — | $257 – $623 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +5 other terms | 15 | $374 | $407 | $95 | 23% | — | $257 – $635 |
| 7 | Cigna facility · fee schedule · outpatient · +4 other terms | 13 | $4 | $48 | $40 | 83% | — | $4 – $122 |
| 8 | Wellmark fee schedule · both · +1 other terms | 13 | $47 | $46 | $7 | 16% | — | $1 – $47 |
| 9 | Optum facility · case rate · outpatient · +2 other terms | 11 | $346 | $380 | $85 | 22% | — | $312 – $564 |
| 10 | Highmark fee schedule · outpatient · +2 other terms | 10 | $330 | $330 | — | — | — | $330 – $330 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Humana fee schedule · inpatient · +2 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | First Health professional · fee schedule · both · +1 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 3 | $35 | $32 | $3 | 10% | — | $29 – $36 |
| 15 | Phcs percent of total billed charges · outpatientfrom % of charges | 3 | $27 | $28 | $7 | 24% | — | $23 – $39 |
| 16 | Medicaid fee schedule · outpatient | 2 | $47 | $43 | $12 | 27% | — | $35 – $60 |
| 17 | Bcbs Il professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Bcbs Nc facility · fee schedule · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 20 | Bcbs Nv fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | Bcbs Vt professional · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 22 | Bcbs Wy fee schedule · both | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 23 | Healthpartners facility · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 24 | Kaiser fee schedule · outpatient · +1 other terms | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Hospitals reporting HCPCS S9430 · Snapshot 20261113T090226Z-3ce6c0b8