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
HB SYRINGE PREFILL PURASTAT HEMO 3ML 621062
Low
$1
Average
$7.6k
Median
$2.4k
High
$15k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 17.6× 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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24 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 2 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 3 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $742 | $742 | — | — | — | $742 – $742 |
| 4 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 5 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 6 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $467 | $467 | $120 | 26% | — | $347 – $587 |
| 7 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 8 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | $965 | 67% | — | $470 – $2.4k |
| 9 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 10 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $161 | 12% | — | $1.2k – $1.5k |
| 11 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 16 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 17 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 18 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 19 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | $143 | 9% | — | $1.4k – $1.8k |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | $97 | 9% | — | $979 – $1.2k |
| 21 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
| 24 | WILLITS HOSPITAL INC Willits, CA fee schedule · outpatient | 1 | $15k | $15k | — | — | — | $15k – $15k |
← Payers reporting HCPCS C1052 · Snapshot 20261111T120946Z-9134e7f7