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
Seneca, PA
See all hospitals reporting CPT 84275 →Price type
UPMC Northwest’s median price of $153 is 962% 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, 30 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 community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $14 | $14 | $0 | 1% | — | $14 – $14 |
| 3 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Highmark medicare facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 6 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 7 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Aetna medicaid facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 10 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 11 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 12 | Highmark commercial - indemnity/managed care facility · fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 13 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 14 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 17 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $222 | $222 | — | — | — | $222 – $222 |
| 18 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 19 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 20 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $236 | $236 | — | — | — | $236 – $236 |
| 21 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 22 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 23 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 24 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $243 | $243 | — | — | — | $243 – $243 |
| 25 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
Last updated: Mar 6, 2026
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