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
$1
Average
$2.4k
Median
$1.3k
High
$28.5k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
251 hospitals; the 90th percentile is 28.7× 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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383 hospital rates
iThe hospitals that file a MultiPlan 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 3 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 4 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 12 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $212 | $225 | $99 | 44% | — | $112 – $451 |
| 13 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $582 | $582 | $154 | 26% | — | $428 – $736 |
| 14 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $582 | $582 | $154 | 26% | — | $428 – $736 |
| 15 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $287 | $287 | $20 | 7% | — | $267 – $307 |
| 16 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $289 | $289 | $18 | 6% | — | $272 – $307 |
| 17 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 1 | $386 | $414 | $232 | 56% | — | $110 – $852 |
| 18 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 19 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 20 | Armstrong County Memorial Hospital Kittanning, PA professional · fee schedule · outpatient | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 21 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $2.7k | $2.7k | $1.5k | 56% | — | $1.2k – $4.3k |
| 22 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | $1.5k | 56% | — | $1.2k – $4.3k |
| 23 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $2.7k | $2.7k | $1.5k | 56% | — | $1.2k – $4.3k |
| 24 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | $1.5k | 56% | — | $1.2k – $4.3k |
| 25 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $2.7k | $2.7k | $1.5k | 56% | — | $1.2k – $4.3k |
← Payers reporting HCPCS Q4137 · Snapshot 20261111T120946Z-9134e7f7