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
$550
Average
$7.9k
Median
$1.7k
High
$28.4k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 24.5× 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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92 hospital rates
iThe hospitals that file a MultiPlan 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $639 | $639 | — | — | — | $639 – $639 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $639 | $639 | — | — | — | $639 – $639 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $869 | $869 | — | — | — | $869 – $869 |
| 4 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 9 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 10 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 11 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 12 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 13 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 14 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 15 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 16 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 17 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 18 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 19 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 20 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 21 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 22 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 23 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 24 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $40 | 3% | — | $1.2k – $1.3k |
| 25 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
← Payers reporting HCPCS L8605 · Snapshot 20261111T120946Z-9134e7f7