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
CITRIC AC 1980.6 MG-GLUCONO 59.4 MG-MAG CARB 980.4 MG/30 ML IRRIG.SOLN
High Point, NC
See all hospitals reporting HCPCS Q2004 →Price type
High Point Regional Health’s median price of $23 is 78% below the median hospital's median price ($105), higher than 16% of the 978 hospitals reporting HCPCS Q2004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 32 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 | UnitedHealthcare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 2 | WellCare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Cigna managed care percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Medcost employee managed care percent of total billed charges · inpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Aetna ivl exchange percent of total billed charges · inpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Aetna ivl exchange percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Oscar managed care percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Ambetter managed care percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Medcost employee managed care percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 10 | Blue Cross Blue Shield blue local individual percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Medcost ultra managed care percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 13 | Oscar managed care percent of total billed charges · inpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 14 | Aetna nc+ preferred managed care percent of total billed charges · inpatientfrom % of charges | $23 | $23 | — | — | — | $23 – $23 |
| 15 | Medcost ultra managed care percent of total billed charges · inpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 17 | Aetna nc+ preferred managed care percent of total billed charges · outpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 18 | Blue Cross Blue Shield hpn percent of total billed charges · outpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 19 | Aetna broad network percent of total billed charges · inpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 20 | UnitedHealthcare iex individual managed care percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 21 | Aetna broad network percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 22 | Blue Cross Blue Shield blue value percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 23 | Medcost leased and mbs managed care percent of total billed charges · inpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 24 | Blue Cross Blue Shield hmo/ppo percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 25 | Aetna managed care percent of total billed charges · inpatientfrom % of charges | $34 | $34 | — | — | — | $34 – $34 |
Last updated: Oct 8, 2025
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