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
$2.3k
Median
$1.6k
High
$10.6k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 1454.0× 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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39 hospital rates
iThe hospitals that file a Premera 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 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 3 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Central Washington Health Services Association Wenatchee, WA fee schedule · both | 3 | $9.5k | $8.0k | $2.3k | 28% | — | $4.8k – $9.5k |
| 5 | Central Washington Health Services Association Wenatchee, WA other · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 8 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $10.1k | $10.6k | $3.0k | 28% | — | $7.2k – $14.4k |
| 9 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $5 | $5 | $1 | 22% | — | $3 – $6 |
| 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 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $5 | $5 | $1 | 22% | — | $3 – $6 |
| 13 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $7.3k | $7.3k | $2.4k | 33% | — | $4.9k – $9.7k |
| 15 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $4.9k | $4.9k | $1.6k | 33% | — | $3.3k – $6.6k |
| 16 | Mercy Medical Center - New Hampton New Hampton, IA facility · fee schedule · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $5 | $5 | $1 | 22% | — | $3 – $6 |
| 18 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $5 | $5 | $1 | 16% | — | $3 – $5 |
| 19 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $5 | $5 | $1 | 22% | — | $3 – $6 |
| 20 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $5 | $5 | $1 | 16% | — | $3 – $5 |
| 21 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $5 | $5 | $1 | 16% | — | $3 – $5 |
| 22 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $2.3k | $2.3k | $760 | 33% | — | $1.5k – $3.0k |
| 24 | Plymouth Medical Center Plymouth, IN facility · fee schedule · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 25 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
← Payers reporting HCPCS J7168 · Snapshot 20261111T120946Z-9134e7f7