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 PLACENTA ALPHA MICRO IG C/V
Low
$39
Average
$193
Median
$142
High
$1.4k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1243 hospitals; the 90th percentile is 3.8× 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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1,796 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $181 | $170 | $35 | 20% | 95 | $81 – $196 |
| 2 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $108 | $112 | $41 | 36% | 94–112 | $42 – $160 |
| 3 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $108 | $112 | $41 | 36% | 94–112 | $42 – $160 |
| 4 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $108 | $112 | $41 | 36% | 93–111 | $42 – $160 |
| 5 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $108 | $112 | $41 | 36% | 93–111 | $42 – $160 |
| 6 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $108 | $112 | $41 | 36% | 92–110 | $42 – $160 |
| 7 | Northfield Hospital Northfield, MN other · both | 1 | $100 | $100 | — | — | 83 | $100 – $100 |
| 8 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 4 | $70 | $83 | $31 | 37% | 58–67 | $57 – $135 |
| 9 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $153 | $153 | — | — | 38 | $153 – $153 |
| 10 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | — | — | 38 | $1.1k – $1.1k |
| 11 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | — | — | 38 | $1.1k – $1.1k |
| 12 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 5 | $251 | $243 | $83 | 34% | 26 | $98 – $375 |
| 13 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $288 | $288 | — | — | 22 | $288 – $288 |
| 14 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $169 | $169 | $5 | 3% | 22 | $164 – $174 |
| 15 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 3 | $90 | $100 | $28 | 28% | 22–40 | $72 – $137 |
| 16 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 5 | $251 | $243 | $83 | 34% | 20–38 | $98 – $375 |
| 17 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $118 | $118 | — | — | 19 | $118 – $118 |
| 18 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $580 | $580 | — | — | 18 | $580 – $580 |
| 19 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $338 | $341 | $134 | 39% | 18–27 | $98 – $479 |
| 20 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 4 | $70 | $82 | $29 | 35% | 16–43 | $57 – $131 |
| 21 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 4 | $70 | $82 | $29 | 35% | 16–43 | $57 – $131 |
| 22 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $142 | $142 | — | — | 16–34 | $142 – $142 |
| 23 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 3 | $265 | $291 | $48 | 16% | 15 | $251 – $358 |
| 24 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $528 | $528 | — | — | 14 | $528 – $528 |
| 25 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC percent of total billed charges · bothfrom % of charges | 4 | $49 | $61 | $42 | 69% | 14–41 | $22 – $125 |
← Payers reporting CPT 84112 · Snapshot 20261111T120946Z-9134e7f7