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
Dextranomer-Hyaluronate-NaCl 50-15 mg/mL (4) Syringe gel 1 mL SYRINGE
Low
$1
Average
$1.0k
Median
$887
High
$2.1k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
64 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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65 hospital rates
iThe hospitals that file a Caresource 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $920 | $920 | — | — | — | $920 – $920 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $323 | $323 | $7 | 2% | — | $316 – $329 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $295 | $295 | $33 | 11% | — | $254 – $334 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $1.6k | $1.6k | $515 | 32% | — | $1.1k – $2.1k |
| 6 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $956 | $956 | — | — | — | $956 – $956 |
| 7 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $925 | $925 | — | — | — | $925 – $925 |
| 13 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $679 | $679 | — | — | — | $679 – $679 |
| 15 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 2 | $1.1k | $1.1k | $217 | 20% | — | $869 – $1.3k |
| 16 | Greenfield Area Medical Center Greenfield, OH facility · case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | HCA FLORIDA BAYONET POINT HOSPITAL HUDSON, FL fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 18 | HCA FLORIDA BLAKE HOSPITAL PALMETTO, FL fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 19 | HCA FLORIDA BRANDON HOSPITAL TEMPLE TERRACE, FL fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 20 | HCA FLORIDA CITRUS HOSPITAL Inverness, FL fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 21 | HCA FLORIDA ENGLEWOOD HOSPITAL VENICE, FL fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 22 | HCA FLORIDA FAWCETT HOSPITAL CAPE CORAL, FL fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 23 | HCA FLORIDA LARGO HOSPITAL CLEARWATER, FL fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 24 | HCA FLORIDA LEHIGH HOSPITAL LEHIGH ACRES, FL fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 25 | HCA FLORIDA OAK HILL HOSPITAL BROOKSVILLE, FL fee schedule · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
← Payers reporting HCPCS L8605 · Snapshot 20261111T120946Z-9134e7f7