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
SIALIC ACID AN TOTOAL & FREE
Muncy, PA
See all hospitals reporting CPT 84275 →Price type
UPMC Muncy’s median price of $161 is 1022% above the median hospital's median price ($14), higher than 96% of the 1,532 hospitals reporting CPT 84275. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 31 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 | Highmark medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Amerihealth Caritas community healthchoices (chc) facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 6 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 7 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 8 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 9 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $96 | $96 | — | — | — | $96 – $96 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 11 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 12 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 13 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 17 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $166 | $166 | — | — | — | $166 – $166 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 19 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $207 | $207 | — | — | — | $207 – $207 |
| 20 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $207 | $207 | — | — | — | $207 – $207 |
| 21 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 22 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 24 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 25 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $245 | $245 | — | — | — | $245 – $245 |
Last updated: Mar 6, 2026
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