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
$134
Average
$236
Median
$148
High
$997
Each hospital's average Clover rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 2.9× 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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48 hospital rates
iThe hospitals that file a Clover 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 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 3 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 4 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 5 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 6 | Conway Hospital, Inc. Conway, SC facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 7 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 8 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 2 | $134 | $134 | — | — | — | $134 – $134 |
| 9 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 10 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 11 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 12 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · outpatient | 2 | $134 | $134 | — | — | — | $134 – $134 |
| 13 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 14 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 15 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 16 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 17 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 18 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 19 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 20 | Jersey City Medical Center Jersey City, NJ fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 21 | Kershaw Medical Center Camden, SC facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 22 | MUSC Health Black River Medical Center Cades, SC facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 23 | MUSC Health Columbia Medical Center Northeast Columbia, SC facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 24 | MUSC Medical Center Charleston, SC facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 25 | Monmouth Medical Center Long Branch, NJ fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7