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.
Original text from hospital filings
PROTECTOR TENDON W2XL2IN SHEET BOVINE COLLAGEN GLYCOSAMINOGLYCAN POROUS TENDON ABSORBABLE IMPLANT NONCONSTRICTING ENCASEMENT
Low
$99
Average
$5.4k
Median
$6.1k
High
$14.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 95.1× 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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22 hospital rates
iThe hospitals that file a Tricare 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 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $13.1k | $13.1k | $2.7k | 21% | — | $10.4k – $15.8k |
| 2 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3.1k | $3.4k | $2.0k | 59% | — | $507 – $7.7k |
| 3 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.3k | $2.0k | 61% | — | $422 – $7.5k |
| 4 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $6.5k | $6.2k | $2.0k | 32% | — | $3.6k – $8.4k |
| 5 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 6 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 7 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $14.3k | $14.3k | $2.2k | 16% | — | $12.1k – $16.5k |
| 8 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $6.4k | $6.4k | $1.6k | 24% | — | $4.8k – $8.0k |
| 9 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $7.5k | $7.5k | $1.8k | 24% | — | $5.7k – $9.4k |
| 10 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $6.1k | $6.1k | $1.5k | 24% | — | $4.6k – $7.5k |
| 11 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $6.7k | $6.7k | $1.6k | 24% | — | $5.1k – $8.4k |
| 12 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $9.7k | $2.4k | 24% | — | $7.3k – $12.0k |
| 13 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $10.0k | $10.0k | $2.4k | 24% | — | $7.6k – $12.4k |
| 14 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $4.8k | $4.8k | $1.2k | 24% | — | $3.6k – $5.9k |
| 15 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 16 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 17 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 18 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 19 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 20 | University Health Truman Medical Center Kansas City, MO facility · fee schedule · outpatient | 1 | $7.0k | $7.0k | $1.5k | 21% | — | $5.6k – $8.5k |
| 21 | Victor Valley Global Medical Center Victorville, CA facility · fee schedule · outpatient | 1 | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 22 | Victor Valley Global Medical Center Victorville, CA professional · fee schedule · outpatient | 1 | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
← Payers reporting HCPCS C9356 · Snapshot 20261111T120946Z-9134e7f7