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
DIANEAL LC 1.5%DEX 6LINJ
Low
$21
Average
$296
Median
$170
High
$1.4k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 19.0× 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 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 3 | $88 | $88 | $3 | 4% | — | $82 – $93 |
| 2 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $170 | $3 | 2% | — | $166 – $174 |
| 3 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $170 | $3 | 2% | — | $166 – $174 |
| 4 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | $3 | 2% | — | $170 – $179 |
| 5 | CHIPPENHAM HOSPITAL RICHMOND, VA percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $14 | 1% | — | $1.2k – $1.2k |
| 6 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 2 | $22 | $22 | $2 | 10% | — | $20 – $24 |
| 7 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $22 | $2 | 10% | — | $20 – $24 |
| 8 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $94 | $90 | $6 | 7% | — | $81 – $94 |
| 9 | FAIRVIEW PARK HOSPITAL DUBLIN, GA percent of total billed charges · outpatientfrom % of charges | 2 | $147 | $147 | — | — | — | $147 – $147 |
| 10 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · inpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 12 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX percent of total billed charges · outpatientfrom % of charges | 2 | $103 | $103 | $6 | 6% | — | $96 – $109 |
| 13 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX percent of total billed charges · outpatientfrom % of charges | 2 | $181 | $181 | $11 | 6% | — | $169 – $192 |
| 14 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC percent of total billed charges · outpatientfrom % of charges | 1 | $572 | $572 | $147 | 26% | — | $425 – $718 |
| 15 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $572 | $572 | $147 | 26% | — | $425 – $718 |
| 16 | HCA Healthcare Trident Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $572 | $572 | $147 | 26% | — | $425 – $718 |
| 17 | HEART HOSP OF AUSTIN Austin, TX percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $90 | $18 | 20% | — | $62 – $110 |
| 18 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $90 | $18 | 20% | — | $62 – $110 |
| 19 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $170 | $170 | $3 | 2% | — | $166 – $174 |
| 21 | JOHNSTON-WILLIS HOSPITAL RICHMOND, VA percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $14 | 1% | — | $1.2k – $1.2k |
| 22 | LEWISGALE HOSPITAL ALLEGHANY LOW MOOR, VA percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 23 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $73 | $1 | 2% | — | $72 – $75 |
| 24 | LEWISGALE MEDICAL CENTER ROANOKE, VA percent of total billed charges · outpatientfrom % of charges | 1 | $464 | $464 | $7 | 1% | — | $456 – $473 |
| 25 | MEMORIAL SATILLA HEALTH Waycross, GA percent of total billed charges · outpatientfrom % of charges | 2 | $83 | $83 | $2 | 2% | — | $81 – $85 |
← Payers reporting HCPCS A4726 · Snapshot 20261112T181611Z-3fa9fb76