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
$66
Average
$382
Median
$220
High
$3.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
466 hospitals; the 90th percentile is 6.1× 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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565 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 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $241 | $311 | $194 | 62% | 301–373 | $144 – $789 |
| 2 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $319 | $462 | $358 | 77% | 225–360 | $40 – $1.2k |
| 3 | Eisenhower Medical Center Rancho Mirage, CA other · both | 20 | $342 | $273 | $95 | 35% | 213–240 | $142 – $342 |
| 4 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $177 | $237 | $119 | 50% | 29–74 | $95 – $513 |
| 5 | Mayo Clinic Rochester, MN facility · fee schedule · both | 1 | $142 | $142 | — | — | 26 | $142 – $142 |
| 6 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $302 | $362 | $251 | 69% | 17–44 | $40 – $773 |
| 7 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 1 | $264 | $264 | — | — | 6–60 | $264 – $264 |
| 8 | Mayo Clinic Rochester, MN facility · other · both | 3 | $149 | $148 | $2 | 1% | 5–50 | $145 – $149 |
| 9 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $220 | $411 | $285 | 69% | 4–40 | $61 – $773 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · both | 1 | $142 | $142 | — | — | 2–20 | $142 – $142 |
| 11 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $1.7k | $2.2k | $810 | 37% | — | $1.4k – $3.2k |
| 13 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 14 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 15 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $2.0k | $2.0k | $784 | 39% | — | $1.2k – $2.9k |
| 16 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $1.6k | $1.8k | $778 | 43% | — | $824 – $2.9k |
| 17 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 18 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $943 | $943 | $363 | 38% | — | $581 – $1.3k |
| 19 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 20 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 21 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 22 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $2.0k | $2.0k | $784 | 39% | — | $1.2k – $2.9k |
| 23 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 2 | $2.0k | $2.0k | $784 | 39% | — | $1.2k – $2.9k |
| 24 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE case rate · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 25 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 2 | $2.0k | $2.0k | $784 | 39% | — | $1.2k – $2.9k |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7