RC 892
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
ONASEMNOGENE ABEPARVOVEC-XIOI 2 X 10EXP13 VG/ML IV SUSPENSION,KIT
Low
$11.3k
Average
$3907.3k
Median
$2830.0k
High
$13595.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
34 payers; the 90th percentile is 38.8× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +13 other terms | 180 | $35.2k | $39.5k | $472.8k | 1196% | — | $0 – $17119k |
| 2 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +5 other terms | 19 | $13833.8k | $13273.2k | $4959.7k | 37% | — | $1 – $23682.7k |
| 3 | First Health percent of total billed charges · outpatientfrom % of charges · +5 other terms | 16 | $12480.5k | $11151.8k | $3803.1k | 34% | — | $1 – $15750k |
| 4 | Aetna facility · fee schedule · outpatient · +13 other terms | 15 | $2841.5k | $2612.4k | $785.1k | 30% | — | $177.4k – $3252.5k |
| 5 | Cigna facility · fee schedule · outpatient · +7 other terms | 15 | $2926.7k | $3843.8k | $1372.7k | 36% | — | $937.5k – $7181.1k |
| 6 | Medcost percent of total billed charges · inpatientfrom % of charges · +1 other terms | 15 | $8458.2k | $8376.8k | $2709.9k | 32% | — | $3111.5k – $16800k |
| 7 | Molina facility · case rate · outpatient · +5 other terms | 15 | $10.5k | $14.8k | $6.8k | 46% | — | $9.5k – $26.7k |
| 8 | Anthem facility · case rate · outpatient · +6 other terms | 13 | $10.1k | $11.3k | $2.5k | 22% | — | $9.5k – $17.2k |
| 9 | Caresource facility · case rate · outpatient | 13 | $10.3k | $11.3k | $2.4k | 22% | — | $9.3k – $17.5k |
| 10 | Humana facility · fee schedule · outpatient · +10 other terms | 13 | $2862k | $2862k | $396.6k | 14% | — | $2332k – $3286k |
| 11 | Amerihealth Caritas percent of total billed charges · outpatientfrom % of charges | 12 | $2045.7k | $2325.6k | $810.8k | 35% | — | $1178.4k – $3816.8k |
| 12 | Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +1 other terms | 12 | $5534.3k | $5599.2k | $1688.5k | 30% | — | $2205.9k – $10136k |
| 13 | Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms | 12 | $13533.1k | $13595.7k | $2295.7k | 17% | — | $10100.9k – $16800k |
| 14 | Devoted facility · fee schedule · outpatient · +1 other terms | 12 | $2841.5k | $2928.9k | $415.6k | 14% | — | $2332k – $3577.8k |
| 15 | Optum facility · case rate · outpatient · +9 other terms | 12 | $9.6k | $12.7k | $5.6k | 44% | — | $8.6k – $24.1k |
| 16 | Cigna Healthspring fee schedule · outpatient · +3 other terms | 11 | $3309.9k | $3309.9k | $541.2k | 16% | — | $2577.9k – $3869.5k |
| 17 | Medicaid fee schedule · both · +1 other terms | 8 | $11.4k | $11.4k | $5.9k | 52% | — | $2.9k – $16.7k |
| 18 | Phcs percent of total billed charges · bothfrom % of charges · +1 other terms | 8 | $1258.3k | $1258.3k | $1265.4k | 101% | — | $585 – $2835k |
| 19 | WellCare fee schedule · both · +3 other terms | 8 | $11.4k | $11.4k | $5.9k | 51% | — | $3.0k – $16.0k |
| 20 | Blue Cross Blue Shield fee schedule · both · +9 other terms | 6 | $104.8k | $104.2k | $108.5k | 104% | — | $74 – $288.0k |
| 21 | Medica fee schedule · both · +1 other terms | 6 | $108.3k | $107.2k | $111.6k | 104% | — | $74 – $297.7k |
| 22 | Medicare fee schedule · both · +4 other terms | 6 | $119.0k | $119.0k | $126.5k | 106% | — | $74 – $375.6k |
| 23 | Kaiser other · both · +7 other terms | 2 | $3327.9k | $3327.9k | — | — | — | $3327.9k – $3327.9k |
| 24 | Ambetter other · outpatient · +2 other terms | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 25 | Bcbs Nj facility · fee schedule · outpatient · +2 other terms | 1 | $2938.2k | $2938.2k | $149.4k | 5% | — | $2788.8k – $3087.6k |
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