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
PR PENTOXIFLLINE STIM SPERM
Low
$0
Average
$353
Median
$122
High
$5.7k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
171 hospitals; the 90th percentile is 28.2× 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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240 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 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | $11 | 70% | — | $5 – $27 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $2 | $2 | $0 | 7% | — | $2 – $2 |
| 6 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2 | $2 | $0 | 6% | — | $2 – $2 |
| 7 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 8 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 9 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 10 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 11 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 2 | $87 | $87 | — | — | — | $87 – $87 |
| 12 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 16 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 17 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 18 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · percent of total billed charges · inpatientfrom % of charges | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 19 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · percent of total billed charges · outpatientfrom % of charges | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 20 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Cleveland Clinic Mercy Hospital Canton, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 24 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 25 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $190 | $190 | — | — | — | $190 – $190 |
← Payers reporting CPT 89240 · Snapshot 20261112T181611Z-3fa9fb76