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
HUMAN PROTHROMBIN COMPLEX CONCENTRATE-LANS 1,000 UNIT IV SOLUTION|DISCARDED DRUG NOT ADMINISTE
Low
$0
Average
$1.1k
Median
$1.4k
High
$2.4k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
76 hospitals; the 90th percentile is 1423.2× 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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82 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $480 | $480 | $160 | 33% | — | $320 – $639 |
| 7 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $997 | $997 | $332 | 33% | — | $664 – $1.3k |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN fee schedule · both | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN fee schedule · both | 2 | $1.7k | $1.8k | $156 | 9% | — | $1.7k – $2.0k |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · both | 14 | $1.7k | $1.7k | $143 | 8% | — | $1.7k – $2.0k |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 14 | $1.7k | $1.7k | $143 | 8% | — | $1.7k – $2.0k |
| 13 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both | 2 | $1.8k | $1.8k | $166 | 9% | — | $1.7k – $2.0k |
| 14 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · both | 2 | $1.8k | $1.8k | $166 | 9% | — | $1.7k – $2.0k |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN fee schedule · both | 2 | $1.8k | $1.8k | $166 | 9% | — | $1.7k – $2.0k |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both | 2 | $1.8k | $1.8k | $166 | 9% | — | $1.7k – $2.0k |
| 17 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN fee schedule · both | 2 | $1.8k | $1.8k | $166 | 9% | — | $1.7k – $2.0k |
| 18 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN fee schedule · both | 2 | $1.8k | $1.8k | $166 | 9% | — | $1.7k – $2.0k |
| 19 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 20 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 21 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $642 | $642 | $214 | 33% | — | $428 – $855 |
| 24 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J7165 · Snapshot 20261111T120946Z-9134e7f7