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 (Sup Shell A4223) Infusion Supplies W/O Pump
Low
$2
Average
$41
Median
$19
High
$320
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 3.9× 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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44 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Saint Michaels Medical Center Newark, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 435 | $3 – $3 |
| 2 | Saint Clares Hospital Boonton Township, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 24 | $2 – $2 |
| 3 | Landmark Medical Center Woonsocket, RI percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 4 | Saint John Hospital Leavenworth, KS percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 7 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 11 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 12 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 13 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 14 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 16 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 17 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Inspira Health Center Bridgeton Bridgeton, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $11 | $21 | $15 | 71% | — | $9 – $41 |
| 19 | Inspira Health Center Woodbury Woodbury, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $11 | $21 | $15 | 71% | — | $9 – $41 |
| 20 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $12 | $20 | $15 | 75% | — | $8 – $41 |
| 21 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $11 | $19 | $16 | 81% | — | $6 – $41 |
| 22 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $12 | $21 | $15 | 70% | — | $9 – $41 |
| 23 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $11 | $21 | $15 | 71% | — | $9 – $41 |
| 24 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 25 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting HCPCS A4223 · Snapshot 20261112T124536Z-e251e855