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 Q4117) HYALOMATRIX
Low
$18
Average
$983
Median
$65
High
$7.2k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
115 hospitals; the 90th percentile is 172.3× 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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157 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 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 3 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 1 | $6.5k | $5.9k | $2.3k | 38% | — | $2.9k – $8.4k |
| 4 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $6.5k | $5.9k | $2.3k | 38% | — | $2.9k – $8.4k |
| 5 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA percent of total billed charges · bothfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 6 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $961 | $961 | — | — | — | $961 – $961 |
| 7 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $961 | $961 | — | — | — | $961 – $961 |
| 8 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 1 | $347 | $1.4k | $2.1k | 144% | — | $22 – $5.9k |
| 9 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $395 | $1.7k | $2.5k | 145% | — | $26 – $7.2k |
| 10 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 11 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $653 | $653 | — | — | — | $653 – $653 |
| 12 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $653 | $653 | — | — | — | $653 – $653 |
| 13 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $2.2k | $3.8k | $3.4k | 91% | — | $525 – $9.5k |
| 14 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $2.2k | $3.8k | $3.4k | 91% | — | $525 – $9.5k |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $20 | $4 | 18% | — | $16 – $25 |
| 16 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $20 | $4 | 18% | — | $16 – $25 |
| 17 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $41 | $43 | $8 | 18% | — | $34 – $53 |
| 18 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $501 | $501 | — | — | — | $501 – $501 |
| 19 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $501 | $501 | — | — | — | $501 – $501 |
| 20 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $747 | $747 | — | — | — | $747 – $747 |
| 21 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $747 | $747 | — | — | — | $747 – $747 |
| 22 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $747 | $747 | — | — | — | $747 – $747 |
| 23 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $49 | $52 | $10 | 18% | — | $42 – $64 |
| 24 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $2.1k | $3.5k | $3.2k | 91% | — | $488 – $8.8k |
| 25 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $2.1k | $3.5k | $3.2k | 91% | — | $488 – $8.8k |
← Payers reporting HCPCS Q4117 · Snapshot 20261111T120946Z-9134e7f7