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 KERECIS SHIELD STANDARD CIRCULAR 50MM/CM2
Prices here combine facility and professional fees. See them separately →Experimental
Low
$123
Average
$914
Median
$132
High
$3.3k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 21 hospitals; the 90th percentile is 26.9× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Inova Alexandria Hospital Alexandria, VA | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 2 | Porter Hospital LLC Valparaiso, IN | $211 | $215 | $54 | 25% | — | $132 – $316 |
| 3 | Prisma Health Tuomey Hospital SUMTER, SC | $120 | $123 | $18 | 14% | — | $116 – $214 |
| 4 | Prisma Health Richland Hospital COLUMBIA, SC | $123 | $126 | $18 | 14% | — | $119 – $220 |
| 5 | Prisma Health Hillcrest Hospital SIMPSONVILLE, SC | $119 | $124 | $15 | 12% | — | $119 – $218 |
| 6 | Prisma Health North Greenville Ltach Hospital TRAVELERS REST, SC | $120 | $125 | $15 | 12% | — | $119 – $219 |
| 7 | Montefiore Medical Center Bronx, NY | $638 | $638 | — | — | — | $638 – $638 |
| 8 | Inova Loudoun Hospital Leesburg, VA | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 9 | Inova Fair Oaks Hospital Fairfax, VA | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Prisma Health Baptist Easley Hospital EASLEY, SC | $120 | $123 | $14 | 12% | — | $118 – $217 |
Ask Claude or any MCP client for HCPCS A2019 pricing at a specific hospital — see how to connect.