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
$97
Average
$384
Median
$539
High
$596
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 5.0× 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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5 hospital rates
iThe hospitals that file a Superior Healthplan 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 2 | MEDICAL CITY MCKINNEY MCKINNEY, TX percent of total billed charges · outpatientfrom % of charges | 5 | $207 | $539 | $491 | 91% | — | $177 – $1.2k |
| 3 | MEDICAL CITY PLANO Plano, TX percent of total billed charges · outpatientfrom % of charges | 5 | $145 | $543 | $581 | 107% | — | $108 – $1.6k |
| 4 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $596 | $596 | $228 | 38% | — | $368 – $824 |
| 5 | ST. DAVID'S GEORGETOWN HOSPITAL Georgetown, TX percent of total billed charges · outpatientfrom % of charges | 7 | $48 | $97 | $57 | 59% | — | $48 – $163 |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7