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
ALLOGRAFT PRTCLT TISS NEOX FLO 100MG
Low
$101
Average
$726
Median
$246
High
$4.6k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
185 hospitals; the 90th percentile is 12.1× 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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205 hospital rates
iThe hospitals that file a Ambetter 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 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $711 | $711 | — | — | 1–10 | $711 – $711 |
| 2 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $650 | $565 | $251 | 44% | — | $172 – $918 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $647 | $567 | $255 | 45% | — | $162 – $980 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $674 | $587 | $263 | 45% | — | $170 – $1.0k |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $662 | $581 | $261 | 45% | — | $166 – $1.0k |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $647 | $575 | $259 | 45% | — | $162 – $1.0k |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $619 | $563 | $257 | 46% | — | $155 – $1.0k |
| 8 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 9 | Baptist Health - Fort Smith Smith, AR fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 10 | Baptist Health Medical Center - Conway Conway, AR fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 11 | Baptist Health Medical Center - Drew County Monticello, AR fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 12 | Baptist Health Medical Center - Little Rock Rock, AR fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 13 | Baptist Health Medical Center - Magnolia Magnolia, AR fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 14 | Baptist Health Medical Center - North Little Rock Rock, AR fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 15 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $4k | $4.1k | $1.8k | 44% | — | $1.9k – $8.3k |
| 16 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4k | $4.1k | $1.8k | 44% | — | $1.9k – $8.3k |
| 17 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 18 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $4k | $4.1k | $1.8k | 44% | — | $1.9k – $8.3k |
| 19 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4k | $4.1k | $1.8k | 44% | — | $1.9k – $8.3k |
| 20 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 21 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 22 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 23 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $588 | $543 | $250 | 46% | — | $147 – $980 |
| 24 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $855 | $745 | $333 | 45% | — | $215 – $1.3k |
| 25 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $810 | $725 | $328 | 45% | — | $202 – $1.3k |
← Payers reporting HCPCS Q4148 · Snapshot 20261111T120946Z-9134e7f7