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
$94
Average
$520
Median
$214
High
$3.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
234 hospitals; the 90th percentile is 10.3× 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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367 hospital rates
iThe hospitals that file a Anthem 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 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $1.5k | $169 | 11% | 16–52 | $1.3k – $1.7k |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $2.1k | $1.3k | 63% | 8–80 | $538 – $4.2k |
| 3 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.6k | $1.5k | $169 | 11% | 6–60 | $1.3k – $1.7k |
| 4 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.3k | $451 | 35% | 3–30 | $807 – $1.9k |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $256 | $273 | $115 | 42% | — | $142 – $422 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $133 | $133 | $7 | 6% | — | $126 – $141 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | $7 | 6% | — | $122 – $136 |
| 8 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $1.4k | $1.4k | $236 | 17% | — | $1.2k – $1.7k |
| 9 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $1.3k | $1.3k | $455 | 36% | — | $670 – $2.0k |
| 10 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $142 | $146 | $15 | 10% | — | $130 – $167 |
| 11 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $428 | $401 | $64 | 16% | — | $312 – $462 |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $388 | $357 | $109 | 31% | — | $185 – $466 |
| 13 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 14 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $398 | $391 | $53 | 13% | — | $323 – $453 |
| 15 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 16 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 17 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 18 | Appalachian Regional Healthcare, Inc. Harlan, KY fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 19 | Appalachian Regional Healthcare, Inc. Harlan, KY other · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 20 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $517 | $517 | — | — | — | $517 – $517 |
| 21 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 22 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 4 | $180 | $249 | $130 | 52% | — | $161 – $474 |
| 23 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 2 | $3.5k | $3.5k | $289 | 8% | — | $3.2k – $3.8k |
| 24 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $612 | $612 | $466 | 76% | — | $147 – $1.1k |
| 25 | Aspirus Plover Hospital Stevens Point, WI fee schedule · outpatient | 2 | $612 | $612 | $466 | 76% | — | $147 – $1.1k |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7