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
POWDER SURGICAL WCI-05-SACRXP 5GM
Low
$11
Average
$968
Median
$52
High
$18.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
642 hospitals; the 90th percentile is 50.6× 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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830 hospital rates
iThe hospitals that file a Aetna 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 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 4 | $740 | $1.1k | $1.2k | 110% | 7–70 | $19 – $3.6k |
| 2 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 4 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · bothfrom % of charges | 2 | $62 | $62 | $4 | 6% | 1–10 | $58 – $66 |
| 5 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 2 | $62 | $62 | $4 | 6% | 1–10 | $58 – $66 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $702 | $702 | — | — | 1–10 | $702 – $702 |
| 7 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 9 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $380 | $380 | $339 | 89% | — | $41 – $719 |
| 10 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $46 | $46 | $2 | 4% | — | $44 – $48 |
| 11 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $41 | $41 | $7 | 16% | — | $35 – $48 |
| 12 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $791 | $791 | $171 | 22% | — | $620 – $962 |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 14 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $77 | $77 | $32 | 42% | — | $45 – $109 |
| 15 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $399 | $890 | $1.1k | 126% | — | $5 – $3.6k |
| 16 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.6k | $1.4k | 89% | — | $269 – $5.6k |
| 17 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 18 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 19 | Affinity Hospital LLC Birmingham, AL facility · other · inpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Affinity Hospital LLC Birmingham, AL facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $713 | $713 | $558 | 78% | — | $155 – $1.3k |
| 22 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 23 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $49 | $49 | $0 | 1% | — | $48 – $49 |
| 24 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 2 | $814 | $814 | — | — | — | $814 – $814 |
| 25 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $25 | $27 | $4 | 13% | — | $24 – $32 |
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