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
$1
Average
$775
Median
$620
High
$2.7k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 17.1× 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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69 hospital rates
iThe hospitals that file a Molina 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 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $200 | $200 | $0 | 0% | — | $200 – $200 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $150 | $155 | $19 | 12% | — | $138 – $183 |
| 6 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $738 | $738 | — | — | — | $738 – $738 |
| 7 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $738 | $738 | — | — | — | $738 – $738 |
| 8 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $738 | $738 | — | — | — | $738 – $738 |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $938 | $938 | — | — | — | $938 – $938 |
| 10 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $943 | $943 | — | — | — | $943 – $943 |
| 16 | Corona Regional Medical Center Corona, CA fee schedule · both | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 17 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $587 | $587 | — | — | — | $587 – $587 |
| 18 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $1.5k | $2.1k | $881 | 42% | — | $1.5k – $3.4k |
| 19 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 20 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $998 | $998 | — | — | — | $998 – $998 |
| 21 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $699 | $699 | — | — | — | $699 – $699 |
| 22 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 23 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 1 | $959 | $959 | — | — | — | $959 – $959 |
| 24 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | HCA FLORIDA POINCIANA HOSPITAL Kissimmee, FL percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | — | — | — | $333 – $333 |
← Payers reporting HCPCS Q4112 · Snapshot 20261112T181611Z-3fa9fb76