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 FACTOR XIII 1:1 MIX
Low
$5
Average
$80
Median
$40
High
$2.2k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
152 hospitals; the 90th percentile is 16.5× 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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248 hospital rates
iThe hospitals that file a Medica 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 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $1 | 6% | — | $19 – $22 |
| 2 | Alton Memorial Hospital Alton, IL fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 4 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $4 | $5 | $2 | 47% | — | $3 – $9 |
| 5 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $4 | $5 | $2 | 47% | — | $3 – $9 |
| 6 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $193 | $193 | $79 | 41% | — | $114 – $272 |
| 7 | Astera Health Wadena, MN per diem · inpatient | 3 | $3.4k | $4.0k | $792 | 20% | — | $3.4k – $5.1k |
| 8 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 2 | $3.4k | $5.0k | $5.4k | 108% | — | $50 – $13.0k |
| 9 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 5 | $67 | $64 | $29 | 44% | — | $35 – $130 |
| 10 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $9 | $9 | $2 | 24% | — | $5 – $11 |
| 11 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $64 | $64 | $6 | 9% | — | $58 – $70 |
| 12 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | $3 | 9% | — | $31 – $37 |
| 13 | Banner Community Hospital Torrington, WY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $7 | 36% | — | $13 – $27 |
| 14 | Banner Fort Collins Medical Center Fort Collins, CO facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Banner Fort Collins Medical Center Fort Collins, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 16 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 20 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | $7 | 37% | — | $12 – $27 |
| 21 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 22 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 23 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 24 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 25 | Central Iowa Hospital Corporation Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | $1 | 6% | — | $14 – $15 |
← Payers reporting CPT 85291 · Snapshot 20261112T181611Z-3fa9fb76