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
ADHESIVE LIQUID OR EQUAL
Low
$0
Average
$280
Median
$4
High
$10.9k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
405 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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430 hospital rates
iThe hospitals that file a Humana 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 2 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Benefis Community Care, Inc Great Falls, MT other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Black River Health Inc Black River Falls, WI facility · fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 15 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 16 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 17 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 18 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 19 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 20 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 21 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 22 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 23 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 24 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 25 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
← Payers reporting HCPCS A4364 · Snapshot 20261111T120946Z-9134e7f7