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
$485
Average
$2.8k
Median
$1.4k
High
$6.3k
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 4.9× 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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19 hospital rates
iThe hospitals that file a Superior Healthplan 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 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | Baylor Scott & White Medical Center - Austin Austin, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Baylor Scott & White Medical Center - Brenham Brenham, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $485 | $485 | $400 | 82% | — | $85 – $885 |
| 5 | Baylor Scott & White Medical Center - Buda Buda, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Baylor Scott & White Medical Center - Hillcrest Waco, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Baylor Scott & White Medical Center - Lakeway Lakeway, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Baylor Scott & White Medical Center - Marble Falls Marble Falls, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Baylor Scott & White Medical Center - Pflugerville Pflugerville, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Baylor Scott & White Medical Center - Round Rock Round Rock, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Baylor Scott & White Medical Center - Taylor Taylor, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $783 | $783 | $646 | 82% | — | $137 – $1.4k |
| 12 | Baylor Scott & White Medical Center - Temple Temple, TX facility · fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | ST DAVIDS REHAB Austin, TX percent of total billed charges · outpatientfrom % of charges | 3 | $5.8k | $5.8k | $1.0k | 17% | — | $4.8k – $6.8k |
| 15 | ST. DAVID'S GEORGETOWN HOSPITAL Georgetown, TX percent of total billed charges · outpatientfrom % of charges | 3 | $6.2k | $6.2k | $647 | 10% | — | $5.5k – $6.8k |
| 16 | ST. DAVID'S MEDICAL CENTER Manor, TX percent of total billed charges · outpatientfrom % of charges | 3 | $5.8k | $5.8k | $1.0k | 17% | — | $4.8k – $6.8k |
| 17 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 3 | $6.3k | $6.3k | $553 | 9% | — | $5.7k – $6.8k |
| 18 | ST. DAVID'S ROUND ROCK MEDICAL CENTER ROUND ROCK, TX percent of total billed charges · outpatientfrom % of charges | 3 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 19 | ST.DAVIDS SURGICAL HOSPITAL Austin, TX percent of total billed charges · outpatientfrom % of charges | 3 | $6.3k | $6.3k | $553 | 9% | — | $5.7k – $6.8k |
← Payers reporting HCPCS A4264 · Snapshot 20261111T120946Z-9134e7f7