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.
Generation details were not recorded for this description.
Original text from hospital filings
DEVICE HEMOSTATIC SYSTEM FIBRIN SEALANT STANDARD SYRINGE FROZEN STERILE DISPOSABLE PRIMA 2ML
Low
$1
Average
$452
Median
$157
High
$3.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
774 hospitals; the 90th percentile is 8.6× 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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1,033 hospital rates
iThe hospitals that file a Aetna 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 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 1 | $269 | $269 | — | — | 6–60 | $269 – $269 |
| 2 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $887 | $2.4k | $3.5k | 147% | 6–60 | $450 – $10.2k |
| 3 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $887 | $2.4k | $3.5k | 147% | 6–60 | $450 – $10.2k |
| 4 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $887 | $2.4k | $3.5k | 147% | 6–60 | $450 – $10.2k |
| 5 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $352 | $556 | $370 | 67% | 5–50 | $182 – $1.2k |
| 6 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 3 | $259 | $321 | $166 | 52% | 5–50 | $119 – $718 |
| 7 | Springhill Memorial Hospital Mobile, AL other · outpatient | 2 | $360 | $360 | — | — | 2–20 | $360 – $360 |
| 8 | NYU Langone Brooklyn, NY percent of total billed charges · outpatientfrom % of charges | 25 | $1.0k | $1.0k | $133 | 13% | 1–10 | $1.0k – $1.7k |
| 9 | NYU Langone New York, NY percent of total billed charges · outpatientfrom % of charges | 25 | $1.0k | $1.0k | $133 | 13% | 1–10 | $1.0k – $1.7k |
| 10 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $142 | $226 | $118 | 52% | — | $142 – $393 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $203 | $204 | $31 | 15% | — | $166 – $247 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $154 | $156 | $14 | 9% | — | $132 – $173 |
| 14 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 2 | $250 | $250 | $101 | 40% | — | $149 – $351 |
| 15 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $253 | $253 | $105 | 42% | — | $148 – $359 |
| 16 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 2 | $622 | $622 | $89 | 14% | — | $533 – $710 |
| 17 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $1.1k | $1.2k | $838 | 71% | — | $68 – $2.6k |
| 18 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $1.3k | $1.2k | $348 | 30% | — | $646 – $1.6k |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 6 | $1.0k | $1.1k | $436 | 41% | — | $523 – $1.6k |
| 21 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 3 | $400 | $397 | $17 | 4% | — | $375 – $416 |
| 22 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 23 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 24 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $467 | $467 | — | — | — | $467 – $467 |
| 25 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $563 | $563 | — | — | — | $563 – $563 |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7