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
$111
Average
$534
Median
$175
High
$4.9k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 3.0× 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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21 hospital rates
iThe hospitals that file a Healthpartners 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 Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $293 | $425 | $366 | 86% | 45 | $40 – $1.3k |
| 2 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $164 | $196 | $209 | 107% | 11 | $40 – $742 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 4 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 5 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 6 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 7 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 8 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 9 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 10 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 11 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 12 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 13 | Essentia Health Virginia 901 9th St N Virginia, MN facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 14 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $205 | $280 | $170 | 61% | — | $132 – $592 |
| 15 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $203 | $265 | $132 | 50% | — | $115 – $513 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 3 | $232 | $326 | $266 | 82% | — | $67 – $789 |
| 17 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 3 | $107 | $111 | $72 | 65% | — | $39 – $192 |
| 18 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $164 | $228 | $251 | 110% | — | $40 – $773 |
| 19 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $72 | $155 | $122 | 78% | — | $67 – $339 |
| 20 | Mayo Clinic Health System Red Wing 55066-2848 facility · percent of total billed charges · bothfrom % of charges | 2 | $302 | $302 | $3 | 1% | — | $299 – $305 |
| 21 | SAINT CROIX REGIONAL MEDICAL CENTER SAINT CROIX FALLS, WI other · both | 1 | $195 | $195 | — | — | — | $195 – $195 |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7