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
CLARIX F 25MG 331X-431
Henderson, NV
See all hospitals reporting HCPCS Q4155 →Price type
Dignity Health’s median price of $1.7k is 3388% above the median hospital's median price ($50), higher than 92% of the 1,067 hospitals reporting HCPCS Q4155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna commercial|all other plans fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Cigna commercial|ppo fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 3 | UnitedHealthcare commercial|dh employees fee schedule · inpatient | $1.3k | $1.2k | $259 | 21% | — | $899 – $1.5k |
| 4 | UnitedHealthcare commercial|dh employees fee schedule · outpatient | $1.3k | $1.2k | $259 | 21% | — | $899 – $1.5k |
| 5 | Aetna commercial|hmo fee schedule · inpatient | $1.4k | $1.4k | $285 | 21% | — | $989 – $1.7k |
| 6 | Aetna commercial|all other plans fee schedule · inpatient | $1.5k | $1.4k | $294 | 21% | — | $1.0k – $1.7k |
| 7 | Aetna commercial|ppo fee schedule · inpatient | $1.5k | $1.4k | $294 | 21% | — | $1.0k – $1.7k |
| 8 | Anthem commercial|hmo fee schedule · inpatient | $1.5k | $1.4k | $302 | 21% | — | $1.0k – $1.8k |
| 9 | Anthem commercial|ppo fee schedule · inpatient | $2.0k | $1.9k | $389 | 21% | — | $1.3k – $2.3k |
| 10 | Cigna commercial|all other plans fee schedule · inpatient | $2.7k | $2.6k | $536 | 21% | — | $1.9k – $3.2k |
| 11 | Cigna commercial|ppo fee schedule · inpatient | $2.7k | $2.6k | $536 | 21% | — | $1.9k – $3.2k |
| 12 | MultiPlan commercial|all plans fee schedule · inpatient | $3.0k | $2.9k | $596 | 21% | — | $2.1k – $3.5k |
| 13 | MultiPlan commercial|all plans fee schedule · outpatient | $3.0k | $2.9k | $596 | 21% | — | $2.1k – $3.5k |
| 14 | UnitedHealthcare commercial|options fee schedule · inpatient | $3.1k | $3.0k | $622 | 21% | — | $2.2k – $3.7k |
| 15 | UnitedHealthcare commercial|options fee schedule · outpatient | $3.1k | $3.0k | $622 | 21% | — | $2.2k – $3.7k |
Last updated: Feb 28, 2026
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