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
SPRAY SKIN BARRIER 1.7OZ
Low
$0
Average
$16
Median
$3
High
$328
Each hospital's average Optum rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 6.7× 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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43 hospital rates
iThe hospitals that file a Optum 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 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 3 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 10 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | $14 | 47% | — | $16 – $44 |
| 19 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 22 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 23 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 25 | MEDICAL CITY FORT WORTH FORT WORTH, TX percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | — | $328 – $328 |
← Payers reporting HCPCS A4369 · Snapshot 20261111T120946Z-9134e7f7