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
$132
Average
$221
Median
$153
High
$485
Each hospital's average Regence rate, under the methodology and billing class chosen below.
44 hospitals; the 90th percentile is 2.3× 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 Regence 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 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $406 | $406 | — | — | — | $406 – $406 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 4 | $342 | $334 | $54 | 16% | — | $255 – $397 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 4 | $342 | $334 | $54 | 16% | — | $255 – $397 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 4 | $342 | $334 | $54 | 16% | — | $255 – $397 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 4 | $342 | $334 | $54 | 16% | — | $255 – $397 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 4 | $342 | $334 | $54 | 16% | — | $255 – $397 |
| 7 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 8 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 9 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $341 | $441 | $233 | 53% | — | $220 – $762 |
| 10 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 2 | $169 | $169 | $4 | 2% | — | $166 – $173 |
| 11 | FRANCISCAN HEALTH SYSTEM Tacoma, WA case rate · outpatient | 2 | $152 | $152 | $14 | 9% | — | $138 – $166 |
| 12 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $406 | $406 | — | — | — | $406 – $406 |
| 13 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $485 | $485 | — | — | — | $485 – $485 |
| 14 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 5 | $327 | $302 | $80 | 27% | — | $145 – $373 |
| 15 | HARRISON MEDICAL CENTER Silverdale, WA case rate · outpatient | 2 | $154 | $154 | $16 | 10% | — | $138 – $171 |
| 16 | HIGHLINE MEDICAL CENTER Burien, WA case rate · outpatient | 2 | $151 | $151 | $12 | 8% | — | $138 – $163 |
| 17 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 18 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 21 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT facility · fee schedule · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 24 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 25 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7