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
$1
Average
$1.6k
Median
$1.5k
High
$5.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
169 hospitals; the 90th percentile is 11.6× 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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188 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 2 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 4 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 5 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 6 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 7 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 4 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 15 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $309 | $309 | — | — | — | $309 – $309 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 19 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Children's Hospital San Antonio, TX fee schedule · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 3 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Payers reporting HCPCS A4264 · Snapshot 20261111T120946Z-9134e7f7