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
$1.5k
Median
$1.1k
High
$16.4k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
905 hospitals; the 90th percentile is 7.7× 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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1,231 hospital rates
iThe hospitals that file a Cigna 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 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $4.1k | $4.7k | $2.9k | 63% | 35–350 | $382 – $14.5k |
| 2 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX percent of total billed charges · outpatientfrom % of charges | 3 | $4.1k | $4.7k | $2.9k | 63% | 35–350 | $382 – $14.5k |
| 3 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 3 | $4.1k | $4.7k | $2.9k | 63% | 35–350 | $382 – $14.5k |
| 4 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 2 | $773 | $1.5k | $1.6k | 107% | 30 | $492 – $5.9k |
| 5 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $364 | $688 | $775 | 113% | 9–90 | $207 – $2.8k |
| 6 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $912 | $1.3k | $1.0k | 81% | 9–90 | $531 – $4.5k |
| 7 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $364 | $692 | $773 | 112% | 9–90 | $242 – $2.8k |
| 8 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $313 | $351 | $85 | 24% | 4–40 | $278 – $522 |
| 9 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $913 | $936 | $83 | 9% | 3–30 | $847 – $1.0k |
| 10 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $802 | $802 | — | — | 3–30 | $802 – $802 |
| 11 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $802 | $802 | — | — | 3–30 | $802 – $802 |
| 12 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 22 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 13 | Affinity Hospital LLC Birmingham, AL facility · other · inpatient | 1 | $581 | $581 | $42 | 7% | 1–10 | $540 – $623 |
| 14 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $285 | $311 | $36 | 12% | 1–10 | $285 – $361 |
| 15 | Jefferson County HMA LLC Jefferson City, TN facility · other · inpatient | 1 | $1.1k | $1.6k | $1.1k | 68% | 1–10 | $630 – $3.2k |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · inpatient | 1 | $2.3k | $2.2k | $1.1k | 47% | — | $449 – $4.4k |
| 17 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $2.4k | $2.4k | $1.1k | 47% | — | $482 – $4.7k |
| 18 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | $1.0k | 57% | — | $800 – $2.9k |
| 19 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | $1.1k | 62% | — | $641 – $2.8k |
| 20 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.5k | $848 | 55% | — | $232 – $3.3k |
| 21 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 2 | $257 | $257 | — | — | — | $257 – $257 |
| 22 | AGH MESA LLC Mesa, AZ case rate · outpatient | 2 | $257 | $257 | — | — | — | $257 – $257 |
| 23 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $633 | $633 | — | — | — | $633 – $633 |
| 24 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $552 | $532 | $80 | 15% | — | $402 – $621 |
| 25 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 1 | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
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