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
$886
Median
$215
High
$10.8k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
105 hospitals; the 90th percentile is 9.7× 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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127 hospital rates
iThe hospitals that file a Caresource 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 | Princeton Community Hospital Assn Inc. Princeton, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $810 | $810 | — | — | 1–10 | $810 – $810 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $934 | $936 | $81 | 9% | — | $839 – $1.0k |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $843 | $854 | $119 | 14% | — | $675 – $1.1k |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 5 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 6 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $217 | $217 | $70 | 32% | — | $147 – $287 |
| 7 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 2 | $161 | $161 | — | — | — | $161 – $161 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 1 | $10.2k | $9.7k | $4.6k | 48% | — | $3.9k – $14.4k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 1 | $11.4k | $10.8k | $5.1k | 48% | — | $4.4k – $16.0k |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 1 | $10.2k | $9.7k | $4.6k | 48% | — | $3.9k – $14.4k |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 1 | $10.2k | $9.7k | $4.6k | 48% | — | $3.9k – $14.4k |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 1 | $10.2k | $9.7k | $4.6k | 48% | — | $3.9k – $14.4k |
| 14 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 1 | $10.2k | $9.7k | $4.6k | 48% | — | $3.9k – $14.4k |
| 15 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 16 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 2 | $161 | $161 | — | — | — | $161 – $161 |
| 17 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 18 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $213 | $463 | $416 | 90% | — | $213 – $1.3k |
| 19 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 20 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 21 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 22 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 23 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 24 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 3 | $182 | $176 | $25 | 14% | — | $136 – $204 |
| 25 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7