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
Trluml Dilat Aqueous O/F Can W/Retention Dev/St
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$5.4k
Median
$4.7k
High
$35k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 101 hospitals; the 90th percentile is 11.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northwestern Memorial Hospital Chicago, IL | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 2 | University of Virginia Haymarket Medical Center Haymarket, VA | $15.4k | $14.5k | $1.8k | 13% | — | $10.8k – $15.4k |
| 3 | San Joaquin Community Hospital Bakersfield, CA | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 4 | Henry Ford Health Novi, MI | $1.4k | $1.4k | $115 | 8% | — | $1.4k – $1.6k |
| 5 | Northside Hospital, Inc. Lawrenceville, GA | $9.0k | $12.0k | $11.1k | 93% | — | $5.3k – $50k |
| 6 | Spohn Hospital Beeville Beeville, TX | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 7 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $5.9k | $6.0k | $167 | 3% | — | $5.9k – $6.5k |
| 8 | Northside Hospital, Inc. Atlanta, GA | $9.1k | $12.4k | $11.4k | 92% | — | $5.4k – $50k |
| 9 | Spohn Hospital Alice Alice, TX | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 10 | St. Frances Cabrini Hospital Alexandria, LA | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
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