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
Irr supply sleev disp per mo
Low
$4
Average
$29
Median
$26
High
$144
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 11.9× 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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36 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $25 | $28 | $8 | 29% | — | $13 – $44 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $25 | $27 | $7 | 27% | — | $13 – $42 |
| 6 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 4 | $4 | $4 | $0 | 6% | — | $4 – $4 |
| 9 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $25 | $34 | $16 | 48% | — | $21 – $64 |
| 11 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 12 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $22 | $22 | — | — | — | $22 – $22 |
| 13 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $25 | $28 | $8 | 29% | — | $13 – $46 |
| 14 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 15 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · inpatient | 11 | $22 | $22 | — | — | — | $22 – $22 |
| 18 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 20 | $25 | $28 | $8 | 27% | — | $13 – $42 |
| 19 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 2 | $4 | $4 | $0 | 5% | — | $4 – $4 |
| 20 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · fee schedule · outpatient | 6 | $40 | $40 | $18 | 44% | — | $10 – $69 |
| 21 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 22 | UPMC Passavant - McCandless Cranberry Township, PA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 23 | UPMC Passavant - McCandless Cranberry Township, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $77 | $93 | $28 | 30% | — | $77 – $154 |
| 24 | UPMC Presbyterian Pittsburgh, PA facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 25 | UPMC Presbyterian Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $145 | $167 | $52 | 31% | — | $139 – $284 |
← Payers reporting HCPCS A4437 · Snapshot 20261112T124536Z-e251e855