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 (SUP SHELL Q4112) CYMETRA INJECTABLE
Low
$0
Average
$488
Median
$580
High
$1.3k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 70437.8× 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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15 hospital rates
iThe hospitals that file a Ambetter 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 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $696 | $696 | — | — | — | $696 – $696 |
| 2 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | Johnson County Community Hospital MOUNTAIN CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $602 | $602 | — | — | — | $602 – $602 |
| 4 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $676 | $676 | — | — | — | $676 – $676 |
| 5 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $710 | $710 | — | — | — | $710 – $710 |
| 6 | Lee County Community Hospital PENNINGTON GAP, VA percent of total billed charges · bothfrom % of charges | 1 | $414 | $414 | — | — | — | $414 – $414 |
| 7 | Rush Hospital/Butler, Inc. Butler, AL other · outpatient | 1 | $507 | $507 | — | — | — | $507 – $507 |
| 8 | Rush Medical Foundation Quitman, MS other · outpatient | 1 | $653 | $653 | — | — | — | $653 – $653 |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $580 | $580 | — | — | — | $580 – $580 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · bothfrom % of charges | 1 | $580 | $580 | — | — | — | $580 – $580 |
| 11 | Scott Regional Medical Center, Inc. Morton, MS other · outpatient | 1 | $563 | $563 | — | — | — | $563 – $563 |
| 12 | Vanderbilt Bedford Hospital Shelbyville, TN other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Vanderbilt University Medical Center Nashville, TN other · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Vanderbilt Wilson County Hospital Lebanon, TN other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q4112 · Snapshot 20261112T181611Z-3fa9fb76