RC 343
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.
Generation details were not recorded for this description.
Original text from hospital filings
KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION
Low
$15
Average
$4.0k
Median
$2.0k
High
$39.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 8.4× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 528 | $1.3k | $36.9k | $451.2k | 1222% | 649–1,891 | $0 – $17119k |
| 2 | Anthem fee schedule · outpatient · +28 other terms | 130 | $1.0k | $1.1k | $2.5k | 219% | 379–1,648 | $0 – $56.8k |
| 3 | Bcbs Al facility · other · outpatient · +2 other terms | 5 | $3.3k | $3.4k | $5.5k | 162% | 194–302 | $1 – $27.6k |
| 4 | Medica fee schedule · outpatient · +20 other terms | 39 | $1.6k | $2.1k | $7.7k | 360% | 48–354 | $0 – $151.6k |
| 5 | Cigna fee schedule · outpatient · +31 other terms | 191 | $1.2k | $1.5k | $9.8k | 640% | 36–216 | $0 – $173.3k |
| 6 | Humana facility · fee schedule · outpatient · +26 other terms | 236 | $960 | $3.4k | $66.4k | 1953% | 12–120 | $0 – $2493.3k |
| 7 | Aetna fee schedule · outpatient · +30 other terms | 247 | $1.0k | $3.9k | $87.9k | 2261% | 3–30 | $0 – $4505k |
| 8 | Blue Cross Blue Shield facility · fee schedule · outpatient · +27 other terms | 227 | $1.0k | $1.9k | $39.7k | 2090% | 3–30 | $0 – $2493.3k |
| 9 | First Health fee schedule · outpatient · +16 other terms | 33 | $1.9k | $2.2k | $3.6k | 162% | 2–20 | $1 – $26.8k |
| 10 | WellCare facility · fee schedule · outpatient · +22 other terms | 86 | $1.1k | $1.1k | $860 | 81% | 1–10 | $0 – $12.5k |
| 11 | Caresource fee schedule · outpatient · +18 other terms | 37 | $1.1k | $23.7k | $278.8k | 1178% | 1–10 | $0 – $6757.5k |
| 12 | Bcbs Mt fee schedule · outpatient | 1 | $595 | $595 | — | — | 1–10 | $595 – $595 |
| 13 | MultiPlan fee schedule · outpatient · +16 other terms | 97 | $2.1k | $2.4k | $6.1k | 256% | — | $0 – $209.4k |
| 14 | Molina facility · fee schedule · outpatient · +28 other terms | 81 | $1.1k | $1.1k | $3.4k | 311% | — | $1 – $94.5k |
| 15 | Kaiser fee schedule · outpatient · +23 other terms | 78 | $1.2k | $1.5k | $3.7k | 258% | — | $0 – $81.3k |
| 16 | Tricare facility · fee schedule · outpatient · +15 other terms | 69 | $2.0k | $2.0k | $3.6k | 177% | — | $1 – $31.0k |
| 17 | Devoted facility · fee schedule · outpatient · +17 other terms | 67 | $1.1k | $1.0k | $618 | 61% | — | $0 – $2.5k |
| 18 | Optum facility · fee schedule · outpatient · +20 other terms | 53 | $935 | $952 | $616 | 65% | — | $10 – $6.1k |
| 19 | Highmark facility · fee schedule · outpatient · +16 other terms | 50 | $1.4k | $1.5k | $3.8k | 258% | — | $1 – $108.4k |
| 20 | Ambetter facility · fee schedule · outpatient · +19 other terms | 46 | $2.1k | $1.7k | $1.6k | 91% | — | $0 – $14.2k |
| 21 | Medicare facility · fee schedule · outpatient · +14 other terms | 37 | $1.0k | $926 | $738 | 80% | — | $0 – $4.2k |
| 22 | Medicaid facility · fee schedule · outpatient · +13 other terms | 36 | $461 | $387 | $501 | 129% | — | $0 – $2.0k |
| 23 | Regence facility · fee schedule · both · +16 other terms | 35 | $1.4k | $2.2k | $6.2k | 288% | — | $0 – $114.4k |
| 24 | Wellmark facility · fee schedule · both · +15 other terms | 35 | $1.7k | $1.9k | $4.3k | 224% | — | $0 – $79.8k |
| 25 | Excellus facility · fee schedule · both · +10 other terms | 34 | $1.6k | $1.9k | $4.2k | 218% | — | $0 – $79.8k |
← Hospitals reporting RC 343 · Snapshot 20261111T120946Z-9134e7f7