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 A6242) HYDROGEL DRG <=16 IN W/O BDR
Low
$0
Average
$17
Median
$9
High
$218
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
201 hospitals; the 90th percentile is 7.6× 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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220 hospital rates
iThe hospitals that file a Cigna 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 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 2 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 3 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $12 | $12 | $3 | 26% | — | $9 – $15 |
| 5 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $19 | $19 | $9 | 46% | — | $10 – $28 |
| 6 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $14 | $15 | $8 | 52% | — | $6 – $28 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 10 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 12 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 13 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $12 | $12 | $3 | 26% | — | $9 – $15 |
| 15 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · inpatient | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 2 | $57 | $57 | $3 | 6% | — | $54 – $60 |
← Payers reporting HCPCS A6242 · Snapshot 20261112T124536Z-e251e855