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
HC SUPRACHOROIDAL SPACE NJX PHARMACOLOGIC AGENT
Low
$118
Average
$671
Median
$663
High
$1.5k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
104 hospitals; the 90th percentile is 7.3× 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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149 hospital rates
iThe hospitals that file a MultiPlan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $606 | $606 | — | — | — | $606 – $606 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $891 | $891 | — | — | — | $891 – $891 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $891 | $891 | — | — | — | $891 – $891 |
| 5 | Banner Fort Collins Medical Center Fort Collins, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $624 | $624 | — | — | — | $624 – $624 |
| 6 | Banner Fort Collins Medical Center Fort Collins, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $624 | $624 | — | — | — | $624 – $624 |
| 7 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $624 | $624 | — | — | — | $624 – $624 |
| 8 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $624 | $624 | — | — | — | $624 – $624 |
| 9 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $624 | $624 | — | — | — | $624 – $624 |
| 10 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $624 | $624 | — | — | — | $624 – $624 |
| 11 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 12 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 2 | $506 | $506 | $19 | 4% | — | $488 – $525 |
| 13 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $506 | $506 | $19 | 4% | — | $488 – $525 |
| 14 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 15 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 2 | $543 | $543 | — | — | — | $543 – $543 |
| 16 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 22 | Cleveland Clinic Mercy Hospital Canton, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $606 | $606 | — | — | — | $606 – $606 |
| 24 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $337 | $337 | — | — | — | $337 – $337 |
← Payers reporting CPT 67516 · Snapshot 20261113T090226Z-3ce6c0b8