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
INNOVAMATRTIX AC 2X2CM 4 UNTS APPLIED
Low
$0
Average
$838
Median
$272
High
$9.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
279 hospitals; the 90th percentile is 14.7× 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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312 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $1.7k | $2.2k | $810 | 37% | — | $1.4k – $3.2k |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $137 | $149 | $92 | 62% | — | $22 – $348 |
| 4 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 6 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 3 | $1.4k | $1.2k | $180 | 15% | — | $984 – $1.4k |
| 10 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 11 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 6 | $6.8k | $6.2k | $2.1k | 34% | — | $2.2k – $8.4k |
| 12 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 13 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 7 | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 14 | Barnesville Hospital Association, Inc. Barnesville, OH facility · case rate · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 15 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 4 | $1.3k | $1.2k | $148 | 12% | — | $984 – $1.3k |
| 16 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $303 | $303 | $120 | 39% | — | $183 – $422 |
| 17 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 18 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 4 | $286 | $270 | $76 | 28% | — | $152 – $356 |
| 23 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 24 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 4 | $1.0k | $854 | $349 | 41% | — | $255 – $1.1k |
| 25 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 6 | $127 | $127 | — | — | — | $127 – $127 |
← Payers reporting HCPCS A2001 · Snapshot 20261111T120946Z-9134e7f7