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
Dispensing Fee, Bicros
Low
$0
Average
$467
Median
$386
High
$2.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
238 hospitals; the 90th percentile is 16.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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328 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $238 | $141 | 59% | — | $97 – $379 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $712 | $712 | $63 | 9% | — | $649 – $775 |
| 5 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $317 | $317 | $0 | 0% | — | $317 – $317 |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 2 | $725 | $735 | $348 | 47% | — | $376 – $1.1k |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $820 | $862 | $454 | 53% | — | $376 – $1.6k |
| 8 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 9 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $450 | $1.0k | $1.1k | 105% | — | $300 – $2.9k |
| 10 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $272 | $612 | $643 | 105% | — | $181 – $1.7k |
| 11 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $543 | $543 | — | — | — | $543 – $543 |
| 12 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $552 | $552 | $5 | 1% | — | $547 – $558 |
| 13 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 14 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 15 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 16 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $386 | $386 | $64 | 17% | — | $322 – $450 |
| 17 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 2 | $386 | $386 | $64 | 17% | — | $322 – $450 |
| 18 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 2 | $386 | $386 | $64 | 17% | — | $322 – $450 |
| 19 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 2 | $386 | $386 | $64 | 17% | — | $322 – $450 |
| 20 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $386 | $386 | $64 | 17% | — | $322 – $450 |
| 21 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 2 | $386 | $386 | $64 | 17% | — | $322 – $450 |
| 22 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 2 | $386 | $386 | $64 | 17% | — | $322 – $450 |
| 23 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 2 | $386 | $386 | $64 | 17% | — | $322 – $450 |
| 24 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 2 | $386 | $386 | $64 | 17% | — | $322 – $450 |
| 25 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $266 | $344 | $110 | 32% | — | $266 – $500 |
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