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
$5
Average
$212
Median
$123
High
$3.6k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 27.3× 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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35 hospital rates
iThe hospitals that file a Phcs 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 CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | BYRD REGIONAL HOSPITAL LEESVILLE, LA percent of total billed charges · bothfrom % of charges | 4 | $83 | $83 | — | — | — | $83 – $83 |
| 3 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 4 | 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 |
| 5 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 6 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 7 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Forsyth Memorial Hospital, Inc. Clemmons, NC fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 9 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 10 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 11 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 12 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 13 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 14 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 15 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 16 | McCamey County Hospital District McCamey, TX percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 17 | Medical Park Hospital LLC Winston-Salem, NC fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 18 | Novant Health Ballantyne Medical Center LLC Charlotte, NC fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 19 | Novant Health Matthews Medical Center LLC Matthews, NC fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 20 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 21 | Novant Health Rowan Medical Center LLC Salisbury, NC fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 22 | Novant Health Thomasville Medical Center, LLC Thomasville, NC fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 23 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 24 | SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES Valley, CA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 25 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting CPT 89240 · Snapshot 20261112T181611Z-3fa9fb76