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
BARRIER ADHES 3X5IN PROC PK BIORESORB MEMBRANE SEPRAFILM SOD HYALURONATE
Low
$0
Average
$1.4k
Median
$873
High
$16.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
599 hospitals; the 90th percentile is 8.2× 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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757 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $773 | $1.5k | $1.6k | 107% | 45–450 | $547 – $5.9k |
| 2 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 3 | $651 | $620 | $82 | 13% | 27–81 | $508 – $701 |
| 3 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 20 | $1.9k – $1.9k |
| 4 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $660 | $647 | $314 | 49% | 20–200 | $182 – $1.2k |
| 5 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 50 | $372 | $373 | $4 | 1% | 17–62 | $372 – $393 |
| 6 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $581 | $753 | $357 | 47% | 15–150 | $378 – $1.4k |
| 7 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN percent of total billed charges · bothfrom % of charges | 1 | $515 | $484 | $145 | 30% | 14–140 | $210 – $694 |
| 8 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $725 | $1.2k | $1.1k | 90% | 9–90 | $436 – $4.0k |
| 9 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $364 | $688 | $775 | 113% | 9–90 | $207 – $2.8k |
| 10 | The University of Kansas Health System- St. Francis Campus Topeka, KS facility · percent of total billed charges · bothfrom % of charges | 4 | $1.5k | $1.6k | $881 | 54% | 6–60 | $649 – $3.4k |
| 11 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 3 | $772 | $1.0k | $438 | 43% | 5–50 | $526 – $1.7k |
| 12 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $2.2k | $1.8k | 82% | 4–40 | $643 – $5.0k |
| 13 | St Luke's Regional Medical Center, LTD Mountain Home, ID percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $2.2k | $1.8k | 82% | 4–40 | $643 – $5.0k |
| 14 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 3 | $698 | $879 | $346 | 39% | 2–20 | $541 – $1.5k |
| 15 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 3 | $698 | $879 | $346 | 39% | 2–20 | $541 – $1.5k |
| 16 | Uniontown Hospital Uniontown, PA facility · other · outpatient | 1 | $582 | $582 | — | — | 2–20 | $582 – $582 |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $873 | $873 | — | — | 2–20 | $873 – $873 |
| 18 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $384 | $384 | — | — | 1–10 | $384 – $384 |
| 19 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 20 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA case rate · outpatient | 3 | $1.3k | $1.3k | $763 | 57% | — | $543 – $2.2k |
| 21 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $678 | $890 | $814 | 91% | — | $187 – $2.5k |
| 22 | ADVENTIST HEALTH DELANO Delano, CA other · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 23 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $466 | $466 | $291 | 62% | — | $175 – $757 |
| 24 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA case rate · outpatient | 2 | $1.0k | $1.0k | $55 | 5% | — | $992 – $1.1k |
| 25 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 3 | $1.3k | $1.3k | $785 | 61% | — | $303 – $3.5k |
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