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
$43
Average
$1.7k
Median
$938
High
$14.3k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
81 hospitals; the 90th percentile is 79.8× 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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108 hospital rates
iThe hospitals that file a Anthem 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 | $966 | $966 | — | — | — | $966 – $966 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $282 | $282 | $46 | 16% | — | $236 – $329 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $265 | $266 | $92 | 35% | — | $153 – $379 |
| 4 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 3 | $800 | $861 | $133 | 15% | — | $738 – $1.0k |
| 6 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 3 | $800 | $861 | $133 | 15% | — | $738 – $1.0k |
| 8 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $800 | $861 | $133 | 15% | — | $738 – $1.0k |
| 10 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $872 | $872 | — | — | — | $872 – $872 |
| 11 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $872 | $872 | — | — | — | $872 – $872 |
| 12 | Bridgton Hospital Bridgton, ME fee schedule · outpatient | 1 | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 13 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · inpatientfrom % of charges | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 14 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 2 | $4.7k | $4.7k | $1.8k | 39% | — | $2.9k – $6.5k |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $4.6k | $4.6k | $2.0k | 43% | — | $2.6k – $6.5k |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · inpatientfrom % of charges | 3 | $3.2k | $3.7k | $1.8k | 47% | — | $1.9k – $6.1k |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · outpatientfrom % of charges | 4 | $4.0k | $4.0k | $1.6k | 40% | — | $1.9k – $6.1k |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · inpatientfrom % of charges | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO percent of total billed charges · outpatientfrom % of charges | 2 | $4.7k | $4.7k | $1.8k | 39% | — | $2.9k – $6.5k |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 2 | $4.6k | $4.6k | $2.0k | 43% | — | $2.6k – $6.5k |
| 23 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $938 | $938 | — | — | — | $938 – $938 |
| 24 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
← Payers reporting HCPCS Q4112 · Snapshot 20261112T181611Z-3fa9fb76