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.
Generation details were not recorded for this description.
Original text from hospital filings
NDL NONCORING RFL22G2IN
Low
$12
Average
$166
Median
$254
High
$267
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 21.9× 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.
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10 hospital rates
iThe hospitals that file a WellCare 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 3 | $267 | $267 | $114 | 43% | — | $153 – $381 |
| 2 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 3 | $267 | $267 | $114 | 43% | — | $153 – $381 |
| 3 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $12 | $3 | 22% | — | $7 – $14 |
| 4 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $12 | $3 | 22% | — | $7 – $14 |
| 5 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $12 | $3 | 22% | — | $7 – $14 |
| 6 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 3 | $254 | $254 | $108 | 43% | — | $146 – $363 |
| 7 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 3 | $267 | $267 | $114 | 43% | — | $153 – $381 |
| 8 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $267 | $267 | $114 | 43% | — | $153 – $381 |
| 9 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · other · outpatient | 1 | $267 | $267 | $114 | 43% | — | $153 – $381 |
| 10 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $73 | $37 | 50% | — | $32 – $129 |
← Payers reporting HCPCS A4212 · Snapshot 20261111T120946Z-9134e7f7