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
Tip Crysg G2 Iovera 2190 1X90
Low
$80
Average
$829
Median
$309
High
$10.7k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 8.4× 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 Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 2 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $665 | $665 | $0 | 0% | — | $665 – $665 |
| 3 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 4 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $309 | $309 | — | — | — | $309 – $309 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 8 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 9 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | $0 | 0% | — | $1.1k – $1.1k |
| 10 | FLAGET HEALTHCARE, INC Bardstown, KY fee schedule · outpatient | 1 | $109 | $109 | $16 | 14% | — | $93 – $124 |
| 11 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 13 | Franklin Woods Community Hospital JOHNSON CITY, TN fee schedule · both | 1 | $495 | $495 | $0 | 0% | — | $495 – $495 |
| 14 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $3.7k | $3.7k | $0 | 0% | — | $3.7k – $3.7k |
| 15 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $616 | $616 | $95 | 15% | — | $521 – $711 |
| 16 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $2.7k | $0 | 0% | — | $2.7k – $2.7k |
| 17 | Hawkins County Memorial Hospital ROGERSVILLE, TN fee schedule · both | 1 | $546 | $546 | $0 | 0% | — | $545 – $546 |
| 18 | Holston Valley Medical Center KINGSPORT, TN fee schedule · both | 1 | $668 | $668 | $0 | 0% | — | $668 – $669 |
| 19 | Indian Path Community Hospital KINGSPORT, TN fee schedule · both | 1 | $533 | $533 | $0 | 0% | — | $533 – $533 |
| 20 | Johnson City Medical Center JOHNSON CITY, TN fee schedule · both | 1 | $544 | $544 | $0 | 0% | — | $544 – $544 |
| 21 | Johnson County Community Hospital MOUNTAIN CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | $0 | 0% | — | $1.1k – $1.1k |
| 22 | Johnston Memorial Hospital ABINGDON, VA fee schedule · both | 1 | $723 | $723 | $0 | 0% | — | $723 – $723 |
| 23 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $760 | $706 | $97 | 14% | — | $570 – $789 |
| 24 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 25 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
← Payers reporting HCPCS C9809 · Snapshot 20261111T120946Z-9134e7f7