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
$145
Average
$941
Median
$859
High
$2.7k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
27 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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28 hospital rates
iThe hospitals that file a Optum 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 | $874 | $874 | — | — | — | $874 – $874 |
| 2 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $940 | $940 | — | — | — | $940 – $940 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $961 | $961 | — | — | — | $961 – $961 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $556 | $556 | — | — | — | $556 – $556 |
| 7 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $903 | $903 | — | — | — | $903 – $903 |
| 8 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 9 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | $16 | 11% | — | $136 – $169 |
| 10 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 11 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $767 | $767 | — | — | — | $767 – $767 |
| 12 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $569 | $569 | — | — | — | $569 – $569 |
| 13 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $859 | $859 | — | — | — | $859 – $859 |
| 15 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $703 | $703 | — | — | — | $703 – $703 |
| 16 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 17 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $880 | $880 | — | — | — | $880 – $880 |
| 18 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $918 | $918 | — | — | — | $918 – $918 |
| 19 | OCHSNER BAYOU LLC Raceland, LA other · outpatient | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 20 | Rush Hospital/Butler, Inc. Butler, AL other · outpatient | 1 | $613 | $613 | — | — | — | $613 – $613 |
| 21 | Rush Medical Foundation Quitman, MS other · outpatient | 1 | $647 | $647 | — | — | — | $647 – $647 |
| 22 | ST MARTIN HOSPITAL INC Breaux Bridge, LA other · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 23 | Scott Regional Medical Center, Inc. Morton, MS other · outpatient | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 24 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | UMass Memorial Health - Harrington Hospital, Inc. 2nd Floor Webster, MA percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
← Payers reporting HCPCS Q4112 · Snapshot 20261112T181611Z-3fa9fb76