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
DRSNG SILVERLON ISLAND 4X14"
Low
$1
Average
$184
Median
$136
High
$877
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
44 hospitals; the 90th percentile is 141.4× 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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68 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $94 | $84 | $48 | 57% | — | $4 – $168 |
| 2 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $84 | $48 | 57% | — | $4 – $168 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 5 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 6 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 10 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $540 | $540 | $127 | 23% | — | $413 – $666 |
| 11 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 12 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 13 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $383 | $64 | 17% | — | $285 – $440 |
| 15 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 2 | $359 | $361 | $68 | 19% | — | $285 – $440 |
| 16 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 2 | $359 | $361 | $68 | 19% | — | $285 – $440 |
| 17 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 2 | $359 | $361 | $68 | 19% | — | $285 – $440 |
| 18 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $383 | $64 | 17% | — | $285 – $440 |
| 19 | Indiana University Health Inc. Martinsville, IN percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $383 | $64 | 17% | — | $285 – $440 |
| 20 | Indiana University Health Jay Inc. Portland, IN percent of total billed charges · outpatientfrom % of charges | 2 | $359 | $361 | $68 | 19% | — | $285 – $440 |
| 21 | Indiana University Health North Hospital Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $383 | $64 | 17% | — | $285 – $440 |
| 22 | Indiana University Health Paoli Inc. Paoli, IN percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $383 | $64 | 17% | — | $285 – $440 |
| 23 | Indiana University Health Tipton Hospital Inc. Tipton, IN percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $383 | $64 | 17% | — | $285 – $440 |
| 24 | Indiana University Health West Hospital Inc. Avon, IN percent of total billed charges · outpatientfrom % of charges | 2 | $416 | $383 | $64 | 17% | — | $285 – $440 |
| 25 | Indiana University Health White Memorial Hospital Inc. Monticello, IN percent of total billed charges · outpatientfrom % of charges | 2 | $359 | $361 | $68 | 19% | — | $285 – $440 |
← Payers reporting HCPCS A6255 · Snapshot 20261111T120946Z-9134e7f7