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
$133
Average
$342
Median
$140
High
$2.7k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
44 hospitals; the 90th percentile is 7.4× 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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45 hospital rates
iThe hospitals that file a Medicare 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $540 | $549 | $118 | 22% | — | $403 – $713 |
| 3 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 4 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 5 | Boston Medical Center Boston, MA other · both | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 6 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $140 | $140 | — | — | — | $140 – $140 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $139 | $139 | — | — | — | $139 – $139 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $140 | $140 | — | — | — | $140 – $140 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 2 | $140 | $140 | — | — | — | $140 – $140 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 19 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 20 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 21 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 22 | Eisenhower Medical Center Rancho Mirage, CA other · both | 4 | $142 | $142 | — | — | — | $142 – $142 |
| 23 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 24 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 25 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7