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
ARM ENDOSCOPE L32 CM 2 INCISION 2 RING APPLICATOR BAND OD8 MM FALOPE-RING
Low
$134
Average
$1.1k
Median
$1.1k
High
$3.0k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 9.5× 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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33 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 2 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $488 | $581 | $188 | 32% | — | $444 – $904 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $241 | $78 | 32% | — | $184 – $375 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $193 | $62 | 32% | — | $147 – $300 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $256 | $83 | 32% | — | $196 – $398 |
| 6 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $373 | $120 | 32% | — | $285 – $580 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $373 | $120 | 32% | — | $285 – $580 |
| 8 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $373 | $120 | 32% | — | $285 – $580 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $373 | $120 | 32% | — | $285 – $580 |
| 10 | Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.1k | $460 | 22% | — | $1.4k – $2.9k |
| 12 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 14 | St Luke's Hospital - Allentown Campus Allentown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | St Luke's Hospital - Anderson Campus Easton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 16 | St Luke's Hospital - Bethlehem Campus Bethlehem, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | St Luke's Hospital - Carbon Campus Lehighton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | St Luke's Hospital - Easton Campus Easton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | St Luke's Hospital - Lehighton Campus Lehighton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | St Luke's Hospital - Miners Campus Coaldale, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | St Luke's Hospital - Monroe Campus Stroudsburg, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | St Luke's Hospital - Sacred Heart Campus Allentown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | St Luke's Hospital - Upper Bucks Campus Quakertown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | St Luke's Warren Hospital Phillipsburg, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $173 | $56 | 32% | — | $133 – $270 |
← Payers reporting HCPCS A4264 · Snapshot 20261111T120946Z-9134e7f7