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
INJECTABLE BULKING AGENT, DEXTRANOMER/HYALURONIC ACID COPOLYMER IMPLANT, URINARY TRACT, 1 ML, INCLUDES SHIPPING AND NECESSARY SUPPLIES
Prices here combine facility and professional fees. See them separately →Experimental
Low
$11
Average
$4.6k
Median
$2.2k
High
$20k
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 43 hospitals; the 90th percentile is 15.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | San Joaquin Community Hospital Bakersfield, CA | $13.0k | $13.4k | $1.6k | 12% | — | $11.7k – $15.6k |
| 2 | Fairview Hospital Cleveland, OH | $998 | $995 | $37 | 4% | — | $903 – $1.0k |
| 3 | Marymount Hospital Inc Garfield Heights, OH | $938 | $936 | $35 | 4% | — | $848 – $982 |
| 4 | Medina Hospital Medina, OH | $973 | $969 | $38 | 4% | — | $880 – $1.0k |
| 5 | VHS Huron Valley-Sinai Hospital Inc Commerce Charter Twp, MI | $11 | $11 | $3 | 33% | — | $5 – $16 |
| 6 | CentraState Medical Center Freehold Township, NJ | $12k | $12k | — | — | — | $12k – $12k |
| 7 | VHS Harper-Hutzel Hospital Inc Detroit, MI | $11 | $11 | $3 | 33% | — | $5 – $16 |
| 8 | Morristown Medical Center Morristown, NJ | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 9 | Newton Medical Center Newton, NJ | $5.9k | $6.6k | $1.9k | 29% | — | $5.9k – $12k |
| 10 | Clarion Hospital Clarion, PA | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Ask Claude or any MCP client for HCPCS L8604 pricing at a specific hospital — see how to connect.