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
$43
Average
$1.3k
Median
$297
High
$9.8k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
214 hospitals; the 90th percentile is 40.8× 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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298 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $296 | $254 | $99 | 39% | — | $118 – $349 |
| 2 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $141 | $141 | $17 | 12% | — | $123 – $158 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $124 | $125 | $2 | 1% | — | $124 – $128 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $3.3k | $3.5k | $1.2k | 35% | — | $1.6k – $6.0k |
| 5 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $2.9k | $3.1k | $1.4k | 44% | — | $955 – $6.0k |
| 6 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.5k | $3.9k | $1.2k | 30% | — | $2.3k – $5.9k |
| 7 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $3.3k | $3.4k | $1.1k | 33% | — | $1.7k – $5.9k |
| 8 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 9 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 10 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI fee schedule · both | 1 | $1.4k | $1.6k | $902 | 57% | — | $498 – $3.2k |
| 11 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI other · outpatient | 3 | $210 | $244 | $62 | 26% | — | $190 – $332 |
| 12 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $515 | $515 | $392 | 76% | — | $123 – $907 |
| 13 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $515 | $515 | $392 | 76% | — | $123 – $907 |
| 14 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $193 | $193 | $64 | 33% | — | $129 – $258 |
| 15 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $515 | $515 | $392 | 76% | — | $123 – $907 |
| 16 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 2 | $517 | $517 | $393 | 76% | — | $124 – $911 |
| 17 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · outpatient | 2 | $515 | $515 | $392 | 76% | — | $123 – $907 |
| 18 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 3 | $271 | $273 | $84 | 31% | — | $172 – $377 |
| 19 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 1 | $6.3k | $6.6k | $2.7k | 40% | — | $3.6k – $10.3k |
| 20 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 5 | $6.1k | $6.7k | $4.5k | 67% | — | $291 – $14.5k |
| 21 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 3 | $124 | $124 | — | — | — | $124 – $124 |
| 22 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 23 | Boulder Community Health Lafayette, CO facility · fee schedule · outpatient | 2 | $340 | $496 | $316 | 64% | — | $261 – $1.2k |
| 24 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 3 | $124 | $125 | $4 | 3% | — | $124 – $135 |
| 25 | Bridgton Hospital Bridgton, ME fee schedule · outpatient | 5 | $585 | $1.1k | $1.1k | 99% | — | $468 – $3.3k |
← Payers reporting HCPCS Q4148 · Snapshot 20261111T120946Z-9134e7f7