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
HUM PROTHROMBIN CPLX (PCC) 4FACTOR (KCENTRA) (BRAND SPLIT) IV
Low
$2
Average
$1.4k
Median
$763
High
$7.3k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 1489.5× 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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37 hospital rates
iThe hospitals that file a Excellus 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 | Alice Hyde Medical Center Malone, NY facility · fee schedule · outpatient | 2 | $4 | $4 | $3 | 73% | — | $1 – $7 |
| 2 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $2 | $4 | $4 | 92% | — | $1 – $10 |
| 5 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $3 | $4 | $2 | 41% | — | $3 – $7 |
| 6 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 4 | $5 | $517 | $888 | 172% | — | $2 – $2.1k |
| 7 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.5k | $2.6k | $1.2k | 48% | — | $1.3k – $5.0k |
| 8 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 12 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $7 | $7 | — | — | — | $7 – $7 |
| 13 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $7.3k | $7.3k | $2.4k | 33% | — | $4.9k – $9.7k |
| 16 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $4.9k | $4.9k | $1.6k | 33% | — | $3.3k – $6.6k |
| 17 | Mercy Medical Center - New Hampton New Hampton, IA facility · fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $2.3k | $2.3k | $760 | 33% | — | $1.5k – $3.0k |
| 19 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $5 | $5 | $2 | 33% | — | $3 – $6 |
| 20 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Plymouth Medical Center Plymouth, IN facility · fee schedule · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 22 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $6 | $6 | $3 | 45% | — | $3 – $8 |
| 23 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $1.4k | $1.4k | $468 | 33% | — | $947 – $1.9k |
| 24 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
← Payers reporting HCPCS J7168 · Snapshot 20261111T120946Z-9134e7f7