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
$124
Average
$192
Median
$145
High
$1.3k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
277 hospitals; the 90th percentile is 2.2× 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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291 hospital rates
iThe hospitals that file a WellCare 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $153 | $153 | $4 | 2% | — | $149 – $156 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $225 | $111 | 49% | — | $65 – $342 |
| 4 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 5 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 6 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 7 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 8 | Appalachian Regional Healthcare, Inc. Harlan, KY other · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 9 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $841 | $841 | — | — | — | $841 – $841 |
| 10 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $512 | $485 | $232 | 48% | — | $197 – $719 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $455 | $431 | $206 | 48% | — | $175 – $639 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $512 | $485 | $232 | 48% | — | $197 – $719 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $512 | $485 | $232 | 48% | — | $197 – $719 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $512 | $485 | $232 | 48% | — | $197 – $719 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $455 | $431 | $206 | 48% | — | $175 – $639 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $625 | $593 | $283 | 48% | — | $240 – $879 |
| 18 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 19 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 20 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 21 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 22 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 23 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 24 | Boston Medical Center Boston, MA other · both | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 25 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
← Payers reporting HCPCS C9250 · Snapshot 20261111T120946Z-9134e7f7