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
$57
Average
$1.4k
Median
$997
High
$6.5k
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 37.9× 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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42 hospital rates
iThe hospitals that file a Magellan 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $997 | $442 | 44% | — | $304 – $1.6k |
| 2 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 3 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 4 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $4.8k | $6.0k | $3.9k | 65% | — | $1.7k – $13.8k |
| 5 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $4.8k | $6.0k | $3.9k | 65% | — | $1.7k – $13.8k |
| 6 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $997 | $442 | 44% | — | $304 – $1.6k |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $997 | $442 | 44% | — | $304 – $1.6k |
| 8 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $997 | $442 | 44% | — | $304 – $1.6k |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $997 | $442 | 44% | — | $304 – $1.6k |
| 10 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $317 | $317 | — | — | — | $317 – $317 |
| 11 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $317 | $317 | — | — | — | $317 – $317 |
| 12 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 1 | $6.5k | $6.5k | $1.7k | 26% | — | $4.8k – $8.1k |
| 13 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 1 | $6.5k | $6.5k | $1.7k | 26% | — | $4.8k – $8.1k |
| 14 | MEDICAL CITY NORTH HILLS North Richland Hills, TX percent of total billed charges · outpatientfrom % of charges | 2 | $2.0k | $2.0k | $322 | 16% | — | $1.7k – $2.4k |
| 15 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $676 | $4.8k | $5.9k | 122% | — | $642 – $13.2k |
| 16 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $408 | $1.9k | $2.1k | 112% | — | $369 – $4.8k |
| 17 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | Northwest Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 19 | Northwest Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 20 | Northwest Sahurita Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 21 | Northwest Sahurita Hospital LLC Sahuarita, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 22 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $671 | $942 | $512 | 54% | — | $389 – $1.7k |
| 23 | Orange County Global Medical Center Santa Ana, CA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $317 | $317 | — | — | — | $317 – $317 |
| 24 | Orange County Global Medical Center Santa Ana, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $317 | $317 | — | — | — | $317 – $317 |
| 25 | Oro Valley Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
← Payers reporting HCPCS Q4148 · Snapshot 20261111T120946Z-9134e7f7