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
HC NDL NRV BLCK 80MM 22GA SONOPLEX II FACET S TIP INJ
Low
$28
Average
$133
Median
$124
High
$315
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 4.5× 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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49 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA other · outpatient | 1 | $11 | $11 | — | — | 4–40 | $11 – $11 |
| 2 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $37 | $27 | 71% | 4–40 | $10 – $68 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 4 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 5 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 9 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 3 | $76 | $76 | $4 | 5% | — | $72 – $79 |
| 10 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 11 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 3 | $76 | $76 | $4 | 5% | — | $72 – $79 |
| 12 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 3 | $76 | $76 | $4 | 5% | — | $72 – $79 |
| 13 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 14 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | $2 | 6% | — | $31 – $35 |
| 15 | LECONTE MEDICAL CENTER Sevierville, TN fee schedule · both | 3 | $79 | $79 | — | — | — | $79 – $79 |
| 16 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 17 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 18 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 19 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 20 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · both | 3 | $76 | $76 | $4 | 5% | — | $72 – $79 |
| 21 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 2 | $63 | $64 | $25 | 39% | — | $37 – $95 |
| 22 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges | 2 | $53 | $54 | $23 | 42% | — | $29 – $82 |
| 23 | MultiCare Capital Medical Center Lacey, WA percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | $3 | 6% | — | $41 – $46 |
| 24 | MultiCare Covington Medical Center Covington, WA percent of total billed charges · outpatientfrom % of charges | 2 | $65 | $65 | $12 | 18% | — | $51 – $82 |
| 25 | MultiCare Deaconess Hospital Spokane, WA percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | $3 | 6% | — | $42 – $48 |
← Payers reporting HCPCS C9812 · Snapshot 20261111T120946Z-9134e7f7