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
$1
Average
$12
Median
$8
High
$55
Each hospital's average Regence rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 2.4× 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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18 hospital rates
iThe hospitals that file a Regence 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 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 2 | $15 | $15 | $4 | 27% | — | $11 – $19 |
| 3 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 2 | $48 | $55 | $30 | 55% | — | $22 – $103 |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 2 | $48 | $55 | $30 | 55% | — | $22 – $103 |
| 5 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | $1 | 42% | — | $1 – $2 |
| 6 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 9 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 12 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 13 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | St Luke's McCall, LTD McCall, ID percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 15 | St Luke's Wood River Medical Center, LTD Ketchum, ID percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 16 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | WEST SHOSHONE HOSPITAL DISTRICT Kellogg, ID professional · case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Payers reporting HCPCS A6242 · Snapshot 20261112T124536Z-e251e855