ON-Q pain relief pump, double silver type at Northside Hospital, Inc.

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PUMP ELASTOMC NON-OPIOID DEV

Duluth, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $470 is 20% below the median hospital's median price ($591), higher than 39% 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 Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 13 payers, 89 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	Caresource caresource other · outpatient	$122	$122	—	—	—	$122 – $122
2	Cigna cigna healthsprings medicare advantage other · outpatient	$163	$163	—	—	—	$163 – $163
3	Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient	$222	$222	—	—	—	$222 – $222
4	Medicare medicare fee schedule · outpatient	$222	$222	—	—	—	$222 – $222
5	UnitedHealthcare uhc medicare fee schedule · outpatient	$222	$222	—	—	—	$222 – $222
6	Aetna aetna medicare fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
7	Humana humana medicare advantage hmo fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
8	Kaiser kaiser medicare advantage fee schedule · outpatient	$229	$229	—	—	—	$229 – $229
9	WellCare wellcare medicare advantage fee schedule · outpatient	$229	$229	—	—	—	$229 – $229
10	Humana humana medicare advantage ppo fee schedule · outpatient	$231	$231	—	—	—	$231 – $231
11	Caresource caresource medicare advantage fee schedule · outpatient	$298	$298	—	—	—	$298 – $298
12	Clover clover health fee schedule · outpatient	$304	$304	—	—	—	$304 – $304
13	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$350	$350	—	—	—	$350 – $350
14	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$350	$350	—	—	—	$350 – $350
15	Phcs phcs percent of total billed charges · inpatientfrom % of charges	$423	$423	—	—	—	$423 – $423
16	Phcs phcs percent of total billed charges · outpatientfrom % of charges	$423	$423	—	—	—	$423 – $423
17	Kaiser kaiser_hmo percent of total billed charges · inpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
18	Kaiser kaiser_hmo percent of total billed charges · outpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
19	Kaiser kaiser_hmo-aga percent of total billed charges · inpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
20	Kaiser kaiser_hmo-aga percent of total billed charges · outpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
21	Kaiser kaiser_hmo-bariatric percent of total billed charges · inpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
22	Kaiser kaiser_hmo-bariatric percent of total billed charges · outpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
23	Kaiser kaiser_hmo-gcs percent of total billed charges · inpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
24	Kaiser kaiser_hmo-gcs percent of total billed charges · outpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
25	Kaiser kaiser_hmo-gpg/noas percent of total billed charges · inpatientfrom % of charges	$470	$470	—	—	—	$470 – $470

Page 1 of 4 · 89 rates

Last updated: Feb 14, 2026

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