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 Therapy Prevena Incs Mgmt Sys (115156)
Low
$7
Average
$196
Median
$17
High
$880
Each hospital's average Molina rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 74.5× 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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34 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $506 | $506 | — | — | — | $506 – $506 |
| 4 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $551 | $551 | $60 | 11% | — | $490 – $611 |
| 11 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 13 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 14 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 17 | Methodist Hospitals of Dallas Coppell, TX percent of total billed charges · bothfrom % of charges | 1 | $388 | $406 | $34 | 8% | — | $388 – $469 |
| 18 | Methodist Hospitals of Dallas Mansfield, TX percent of total billed charges · bothfrom % of charges | 1 | $99 | $104 | $9 | 8% | — | $99 – $120 |
| 19 | Methodist Hospitals of Dallas Midlothian, TX percent of total billed charges · bothfrom % of charges | 1 | $273 | $286 | $24 | 8% | — | $273 – $330 |
| 20 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $133 | $139 | $11 | 8% | — | $133 – $160 |
| 21 | Methodist Hospitals of Dallas Souhtlake, TX percent of total billed charges · bothfrom % of charges | 1 | $388 | $406 | $34 | 8% | — | $388 – $469 |
| 22 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $155 | $162 | $13 | 8% | — | $155 – $187 |
| 23 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $155 | $162 | $13 | 8% | — | $155 – $187 |
| 24 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $306 | $502 | $506 | 101% | — | $38 – $1.6k |
| 25 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
← Payers reporting HCPCS A9272 · Snapshot 20261111T120946Z-9134e7f7