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
HC Ab Aqua Case Kit
Low
$108
Average
$408
Median
$327
High
$929
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 6.2× 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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24 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $310 | $310 | — | — | — | $310 – $310 |
| 3 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 4 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 5 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 6 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 7 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $436 | $510 | $216 | 42% | — | $301 – $894 |
| 8 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $436 | $510 | $216 | 42% | — | $301 – $894 |
| 9 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $409 | $390 | $27 | 7% | — | $351 – $409 |
| 10 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 11 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 12 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · bothfrom % of charges | 1 | $575 | $600 | $113 | 19% | — | $447 – $957 |
| 13 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $800 | $800 | $267 | 33% | — | $534 – $1.1k |
| 14 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $800 | $800 | $267 | 33% | — | $534 – $1.1k |
| 15 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $484 | $484 | — | — | — | $484 – $484 |
| 16 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $259 | $326 | $172 | 53% | — | $159 – $788 |
| 17 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $929 | $929 | — | — | — | $929 – $929 |
| 18 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $668 | $793 | $328 | 41% | — | $457 – $1.4k |
| 19 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · inpatientfrom % of charges | 1 | $520 | $494 | $130 | 26% | — | $348 – $680 |
| 20 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $520 | $494 | $130 | 26% | — | $348 – $680 |
| 21 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 22 | UCHealth Estes Valley Medical Center Estes Park, CO fee schedule · both | 1 | $295 | $295 | — | — | — | $295 – $295 |
| 23 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 1 | $283 | $327 | $166 | 51% | — | $159 – $788 |
| 24 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
← Payers reporting HCPCS L8624 · Snapshot 20261111T120946Z-9134e7f7