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
$2.2k
Median
$3
High
$22.7k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
116 hospitals; the 90th percentile is 4367.3× 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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119 hospital rates
iThe hospitals that file a Tricare 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $16.2k | $16.2k | — | — | 1–10 | $16.2k – $16.2k |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | $633 | 33% | — | $1.3k – $2.6k |
| 4 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $1.4k | $1.7k | $515 | 30% | — | $1.4k – $2.6k |
| 6 | BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both | 3 | $2 | $2 | $0 | 1% | — | $2 – $2 |
| 7 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $17.7k | $17.7k | $5.9k | 33% | — | $11.8k – $23.6k |
| 11 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $422 | $422 | — | — | — | $422 – $422 |
| 15 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $148 | $148 | $0 | 0% | — | $148 – $148 |
| 16 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 17 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 18 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.6k | $4.6k | $1.9k | 40% | — | $2.7k – $6.4k |
| 23 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.3k | $1.7k | 40% | — | $2.6k – $6.0k |
| 24 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $22.7k | $22.7k | $7.6k | 33% | — | $15.1k – $30.3k |
| 25 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Payers reporting HCPCS J7168 · Snapshot 20261111T120946Z-9134e7f7