ON-Q pain relief pump, double silver type at Holy Cross Hospital-Silver Spring

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.

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Generated: October 20, 2026

Original text from hospital filings

PUMP PAIN ON Q 270ML DUAL

Silver Spring, MD

See all hospitals reporting HCPCS C9804 →

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Pricing by billing methodology

Price type

How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $226 is 62% below the median hospital's median price ($591), higher than 19% of the 398 hospitals reporting HCPCS C9804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C9804 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 15 payers, 26 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 cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges	$204	$235	$83	35%	—	$120 – $408
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$209	$241	$85	35%	—	$123 – $417
3	Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges	$209	$241	$85	35%	—	$123 – $417
4	Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges	$209	$241	$85	35%	—	$123 – $417
5	Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$210	$242	$86	35%	—	$123 – $420
6	UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$210	$242	$86	35%	—	$123 – $420
7	Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges	$213	$245	$87	35%	—	$125 – $425
8	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$214	$246	$87	35%	—	$125 – $427
9	Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges	$215	$247	$88	35%	—	$126 – $429
10	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$218	$251	$89	35%	—	$128 – $436
11	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
12	Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
13	Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
14	Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	8–80	$133 – $453
16	Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
17	Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
18	Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
19	Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
20	Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
22	Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$227	$261	$92	35%	—	$133 – $453
23	Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges	$229	$264	$93	35%	—	$134 – $458
24	Humana humana facility · percent of total billed charges · bothfrom % of charges	$229	$264	$93	35%	—	$134 – $458
25	Humana humana military facility · percent of total billed charges · bothfrom % of charges	$229	$264	$93	35%	—	$134 – $458

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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