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
$142
Average
$947
Median
$315
High
$4.9k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 13.6× 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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65 hospital rates
iThe hospitals that file a Medical Mutual 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 Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 4 | $265 | $310 | $164 | 53% | 5–50 | $115 – $710 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $537 | $537 | — | — | — | $537 – $537 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $537 | $476 | $106 | 22% | — | $292 – $537 |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 6 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $323 | $323 | — | — | — | $323 – $323 |
| 7 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $385 | $385 | $62 | 16% | — | $323 – $447 |
| 8 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 9 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 10 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 12 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 13 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $511 | $511 | — | — | — | $511 – $511 |
| 14 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $511 | $511 | — | — | — | $511 – $511 |
| 15 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 16 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $352 | $556 | $370 | 67% | — | $182 – $1.2k |
| 17 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $224 | $303 | $188 | 62% | — | $132 – $710 |
| 18 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $528 | $528 | $222 | 42% | — | $305 – $750 |
| 19 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 1 | $180 | $180 | $3 | 1% | — | $177 – $182 |
| 20 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $470 | $472 | $287 | 61% | — | $183 – $765 |
| 21 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $306 | $413 | $244 | 59% | — | $182 – $754 |
| 22 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $320 | $320 | $12 | 4% | — | $305 – $336 |
| 23 | Mayo Clinic Health System Red Wing 55066-2848 facility · percent of total billed charges · bothfrom % of charges | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 24 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 25 | Metrohealth System Parma, OH facility · fee schedule · outpatient | 2 | $266 | $296 | $211 | 71% | — | $78 – $571 |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7