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
$68
Average
$441
Median
$518
High
$877
Each hospital's average Bcbs Il rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 8.3× 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.
Filter by billing methodology
Filter by billing class
8 hospital rates
iThe hospitals that file a Bcbs Il 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 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | $622 | 59% | — | $441 – $1.7k |
| 2 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $622 | 59% | — | $441 – $1.7k |
| 3 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN other · both | 1 | $518 | $518 | — | — | — | $518 – $518 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN other · both | 1 | $518 | $518 | — | — | — | $518 – $518 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN other · both | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 7 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 2 | $105 | $105 | $12 | 11% | — | $93 – $116 |
| 8 | ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS HIGHLAND, IL percent of total billed charges · bothfrom % of charges | 3 | $68 | $68 | — | — | — | $68 – $68 |
← Payers reporting HCPCS Q4137 · Snapshot 20261111T120946Z-9134e7f7