ON-Q pain relief pump, double silver type at Quitman Hospital, LLC

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

SYSTEM DRUG DELIVERY ON-Q C-BLOC SELECT-A-FLOW 5 ML/HR 400 ML 2 SITE SIMPLE EFFECTIVE

Quitman, TX

See all hospitals reporting HCPCS C9804 →

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Pricing by billing methodology

Price type

How this price compares nationally

Quitman Hospital, LLC’s median price of $131 is 78% below the median hospital's median price ($591), higher than 5% 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 Quitman Hospital, LLC

Negotiated rates from the hospital’s own file: 10 payers, 25 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	Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
2	Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
3	Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
4	Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
5	Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
6	Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
7	WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges	$61	$61	—	—	—	$61 – $61
8	Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
9	UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges	$62	$62	—	—	—	$62 – $62
10	Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges	$70	$70	—	—	—	$70 – $70
11	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
12	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
13	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
14	Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$145	$145	—	—	—	$145 – $145
15	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$145	$145	—	—	—	$145 – $145
16	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$145	$145	—	—	—	$145 – $145
17	UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges	$218	$218	—	—	—	$218 – $218
18	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$218	$218	—	—	—	$218 – $218
19	UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges	$218	$218	—	—	—	$218 – $218
20	Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges	$248	$248	—	—	—	$248 – $248
21	Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges	$292	$292	—	—	—	$292 – $292
22	Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges	$292	$292	—	—	—	$292 – $292
23	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$292	$292	—	—	—	$292 – $292
24	Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges	$335	$335	—	—	—	$335 – $335
25	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$335	$335	—	—	—	$335 – $335

Last updated: Feb 12, 2026

Compare to other hospitals

See ON-Q pain relief pump, double silver type pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.