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
Provision splnt intracoronal
Low
$526
Average
$2.1k
Median
$1.2k
High
$4.7k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 7.7× 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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57 hospital rates
iThe hospitals that file a Humana 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 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · case rate · outpatient | 2 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 2 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $664 | $664 | — | — | — | $664 – $664 |
| 3 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 4 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · case rate · outpatient | 2 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 5 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 6 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 7 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 8 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 9 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 11 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 12 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 13 | HCA HOUSTON HEALTHCARE WEST STAFFORD, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 14 | HCA HOUSTON MAINLAND Texas City, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 15 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 16 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $539 | $526 | $88 | 17% | — | $361 – $606 |
| 17 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $539 | $526 | $88 | 17% | — | $361 – $606 |
| 18 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $539 | $526 | $88 | 17% | — | $361 – $606 |
| 19 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $539 | $526 | $88 | 17% | — | $361 – $606 |
| 20 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $539 | $526 | $88 | 17% | — | $361 – $606 |
| 21 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $539 | $526 | $88 | 17% | — | $361 – $606 |
| 22 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · case rate · outpatient | 2 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 23 | MED CITY HEART HOSPITAL Dallas, TX fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | MED CITY SPINE HOSPITAL DALLAS, TX fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | MEDICAL CITY ALLIANCE HASLET, TX fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Payers reporting HCPCS D4320 · Snapshot 20261112T181611Z-3fa9fb76