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
$200
Average
$1.4k
Median
$1.1k
High
$7.0k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
80 hospitals; the 90th percentile is 4.1× 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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105 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 3 | BRFHH MONROE, LLC Monroe, LA other · inpatient | 1 | $534 | $534 | — | — | — | $534 – $534 |
| 4 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $534 | $534 | — | — | — | $534 – $534 |
| 5 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 8 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | DIGNITY HEALTH Camarillo, CA fee schedule · inpatient | 1 | $882 | $882 | — | — | — | $882 – $882 |
| 10 | DIGNITY HEALTH Camarillo, CA fee schedule · outpatient | 1 | $882 | $882 | — | — | — | $882 – $882 |
| 11 | DIGNITY HEALTH Phoenix, AZ fee schedule · inpatient | 1 | $829 | $829 | — | — | — | $829 – $829 |
| 12 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $829 | $829 | — | — | — | $829 – $829 |
| 13 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · inpatient | 1 | $493 | $493 | — | — | — | $493 – $493 |
| 15 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $503 | $503 | $10 | 2% | — | $493 – $512 |
| 16 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 20 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX percent of total billed charges · outpatientfrom % of charges | 1 | $698 | $698 | — | — | — | $698 – $698 |
| 21 | HCA HOUSTON MAINLAND Texas City, TX percent of total billed charges · outpatientfrom % of charges | 1 | $698 | $698 | — | — | — | $698 – $698 |
| 22 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $350 | $350 | — | — | — | $350 – $350 |
| 23 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA percent of total billed charges · outpatientfrom % of charges | 1 | $762 | $762 | — | — | — | $762 – $762 |
| 24 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA percent of total billed charges · outpatientfrom % of charges | 1 | $534 | $534 | — | — | — | $534 – $534 |
| 25 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Payers reporting HCPCS Q4112 · Snapshot 20261112T181611Z-3fa9fb76