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
AmnioExcel 4cm x 8cm disk
Low
$0
Average
$657
Median
$178
High
$15.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
499 hospitals; the 90th percentile is 25.0× 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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625 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $1.7k | $2.2k | $810 | 37% | — | $1.4k – $3.2k |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $104 | $104 | $15 | 14% | — | $89 – $119 |
| 3 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $104 | $104 | $15 | 14% | — | $89 – $119 |
| 4 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $104 | $104 | $15 | 14% | — | $89 – $119 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $116 | $116 | $3 | 3% | — | $113 – $119 |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $104 | $104 | $15 | 14% | — | $89 – $119 |
| 7 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 2 | $104 | $104 | $15 | 14% | — | $89 – $119 |
| 8 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 9 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $268 | $269 | $144 | 53% | — | $44 – $470 |
| 10 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 2 | $102 | $102 | — | — | — | $102 – $102 |
| 11 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 12 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 13 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 14 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 15 | AdventHealth Porter Denver, CO fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 16 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 17 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 2 | $118 | $118 | $5 | 5% | — | $112 – $123 |
| 18 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 19 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $156 | $146 | $24 | 17% | — | $104 – $176 |
| 20 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 21 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 2 | $152 | $152 | $14 | 9% | — | $138 – $166 |
| 22 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 23 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $156 | $146 | $24 | 17% | — | $104 – $176 |
| 24 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $195 | $192 | $108 | 56% | — | $50 – $378 |
| 25 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
← Payers reporting HCPCS Q4137 · Snapshot 20261111T120946Z-9134e7f7