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
Drainable rubber pch w fcplt
Low
$0
Average
$84
Median
$72
High
$477
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 654 hospitals; the 90th percentile is 2.3× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $111 | $111 | $5 | 4% | — | $107 – $116 |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $68 | $68 | $4 | 5% | — | $58 – $73 |
| 3 | Fairview Health Services Edina, MN | $86 | $102 | $36 | 36% | — | $30 – $170 |
| 4 | Hca Florida West Hospital PENSACOLA, FL | $71 | $82 | $29 | 35% | — | $66 – $163 |
| 5 | Mayo Regional Hospital Dover Foxcroft, ME | $34 | $33 | $19 | 56% | — | $3 – $66 |
| 6 | Hoopeston Community Memorial Hospital Hoopeston, IL | $32 | $44 | $17 | 39% | — | $32 – $68 |
| 7 | Deaconess Hospital, Inc Newburgh, IN | $65 | $65 | — | — | — | $65 – $65 |
| 8 | Newark-Wayne Community Hospital Newark, NY | $141 | $141 | — | — | — | $141 – $141 |
| 9 | Methodist Hospital Hill Country Fredericksburg, TX | $70 | $76 | $17 | 22% | — | $49 – $109 |
| 10 | Hca Healthone Northeast Er THORNTON, CO | $68 | $68 | $1 | 1% | — | $67 – $71 |
Ask Claude or any MCP client for HCPCS A4376 pricing at a specific hospital — see how to connect.