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
ORTHOVISC INJ PER DOSE
Low
$80
Average
$198
Median
$167
High
$610
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 3.0× 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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28 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 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $111 | $160 | $68 | 43% | — | $111 – $256 |
| 2 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $117 | $117 | $8 | 7% | — | $109 – $125 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $117 | $117 | $8 | 7% | — | $109 – $125 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 6 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $111 | $111 | — | — | — | $111 – $111 |
| 7 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $115 | $115 | — | — | — | $115 – $115 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 2 | $120 | $120 | $11 | 9% | — | $109 – $131 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 2 | $120 | $120 | $11 | 9% | — | $109 – $131 |
| 10 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $115 | $115 | — | — | — | $115 – $115 |
| 11 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $172 | $172 | $60 | 35% | — | $111 – $232 |
| 12 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $198 | $198 | — | — | — | $198 – $198 |
| 13 | Rochester General Hospital Rochester, NY facility · fee schedule · outpatient | 2 | $208 | $208 | $97 | 47% | — | $111 – $305 |
| 14 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 2 | $94 | $94 | $15 | 16% | — | $80 – $109 |
| 15 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 2 | $94 | $94 | $15 | 16% | — | $80 – $109 |
| 16 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $556 | $556 | $252 | 45% | — | $305 – $808 |
| 17 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $717 | $717 | — | — | — | $717 – $717 |
| 18 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $320 | $320 | $206 | 64% | — | $115 – $526 |
| 19 | St. James Hospital Hornell, NY fee schedule · outpatient | 2 | $257 | $257 | — | — | — | $257 – $257 |
| 20 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · inpatient | 2 | $117 | $133 | $33 | 24% | — | $109 – $188 |
| 21 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · outpatient | 2 | $117 | $133 | $33 | 24% | — | $109 – $188 |
| 22 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $556 | $556 | $252 | 45% | — | $305 – $808 |
| 23 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $303 | $303 | $101 | 33% | — | $202 – $404 |
| 24 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 3 | $115 | $115 | — | — | — | $115 – $115 |
| 25 | The Unity Hospital of Rochester Rochester, NY facility · fee schedule · outpatient | 3 | $111 | $178 | $95 | 53% | — | $111 – $312 |
← Payers reporting HCPCS J7324 · Snapshot 20261111T120946Z-9134e7f7