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
HC (SUP SHELL A4390) DRAINABLE PCH EX WEAR CONVEX
Low
$0
Average
$91
Median
$46
High
$333
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 50.7× 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.
Filter by billing methodology
Filter by billing class
42 hospital rates
iThe hospitals that file a MultiPlan 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 3 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | $322 | 97% | — | $11 – $655 |
| 4 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | HCA FLORIDA FAWCETT HOSPITAL CAPE CORAL, FL percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $1 | 6% | — | $15 – $17 |
| 10 | HCA FLORIDA OAK HILL HOSPITAL BROOKSVILLE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $0 | 6% | — | $7 – $8 |
| 11 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | $322 | 97% | — | $11 – $655 |
| 12 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 13 | MISSION HOSPITAL Arden, NC percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | $322 | 97% | — | $11 – $655 |
| 14 | MISSION HOSPITAL MCDOWELL Marion, NC percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | $322 | 97% | — | $11 – $655 |
| 15 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 16 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 17 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 18 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 19 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 20 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 21 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 22 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 23 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 24 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 25 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
← Payers reporting HCPCS A4390 · Snapshot 20261111T120946Z-9134e7f7