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
HYDROCOLLD DRG >16<=48 W/O B
Low
$3
Average
$43
Median
$21
High
$397
Each hospital's average First Health rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 5.3× 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
40 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 2 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 4 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $48 | $48 | $2 | 3% | — | $46 – $49 |
| 5 | John Muir Health Walnut Creek, CA percent of total billed charges · outpatientfrom % of charges | 2 | $397 | $397 | $12 | 3% | — | $385 – $409 |
| 6 | John Muir Health Concord, CA percent of total billed charges · bothfrom % of charges | 2 | $397 | $397 | $12 | 3% | — | $385 – $409 |
| 7 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 8 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Mayo Clinic Health System Saint James 56081-5550 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 10 | Mayo Clinic Health System Fairmont 56031-4575 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 12 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 13 | Mayo Clinic Health System Waseca 56093-2811 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 14 | Mayo Clinic Health System Cannon Falls 55009-5003 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | Mayo Clinic Health System Red Wing 55066-2848 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | $0 | 1% | — | $4 – $4 |
| 17 | Pemiscot Memorial Health System Hayti, MO percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | $6 | 42% | — | $8 – $20 |
| 18 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 19 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | $15 | 40% | — | $23 – $53 |
| 21 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | $15 | 40% | — | $23 – $53 |
| 22 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | $15 | 40% | — | $23 – $53 |
| 23 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | $15 | 40% | — | $23 – $53 |
| 24 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | $15 | 40% | — | $23 – $53 |
| 25 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | $15 | 40% | — | $23 – $53 |
← Payers reporting HCPCS A6235 · Snapshot 20261111T120946Z-9134e7f7