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
SEAL PROTECTIVE STOMA 4.2X35MM
Low
$0
Average
$34
Median
$3
High
$540
Each hospital's average First Health rate, under the methodology and billing class chosen below.
61 hospitals; the 90th percentile is 182.2× 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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71 hospital rates
iThe hospitals that file a First Health 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 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $47 | $47 | $24 | 50% | — | $24 – $71 |
| 5 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $47 | $47 | $24 | 50% | — | $24 – $71 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Duncan Regional Hospital Duncan, OK percent of total billed charges · outpatientfrom % of charges | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 13 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $26 | $15 | 58% | — | $14 – $47 |
| 14 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 15 | HCA HOUSTON MAINLAND Texas City, TX percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | $14 | 47% | — | $15 – $43 |
| 16 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $82 | $28 | 34% | — | $49 – $117 |
| 17 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $82 | $28 | 34% | — | $49 – $117 |
| 18 | HCA Healthcare Trident Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $82 | $28 | 34% | — | $49 – $117 |
| 19 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 20 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 21 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | $0 | 20% | — | $0 – $1 |
| 22 | Jefferson County Hospital OK Waurika, OK percent of total billed charges · outpatientfrom % of charges | 1 | $320 | $320 | — | — | — | $320 – $320 |
| 23 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 24 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 25 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
← Payers reporting HCPCS A4385 · Snapshot 20261111T120946Z-9134e7f7