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
$1
Average
$2.9k
Median
$666
High
$14.8k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 194.4× 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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21 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $7.7k | $7.9k | $963 | 12% | — | $6.9k – $9.4k |
| 2 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $8.9k | $10.5k | $6.2k | 59% | — | $2.6k – $23.6k |
| 3 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 5 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.9k | $1.1k | 59% | — | $465 – $4.2k |
| 6 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · both | 2 | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN fee schedule · both | 2 | $56 | $56 | $5 | 9% | — | $51 – $61 |
| 9 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Northwest Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 12 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Oro Valley Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 14 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 15 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA fee schedule · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 16 | SIERRA VISTA HOSPITAL INC Obispo, CA fee schedule · outpatient | 1 | $666 | $666 | $52 | 8% | — | $614 – $717 |
| 17 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 18 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $173 | $849 | $971 | 114% | — | $152 – $2.2k |
| 19 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | $2 | 2% | — | $104 – $107 |
| 20 | TWIN CITIES COMMUNITY HOSPITAL INC Templeton, CA fee schedule · outpatient | 1 | $478 | $478 | $4 | 1% | — | $474 – $481 |
| 21 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA fee schedule · outpatient | 1 | $8.1k | $11.1k | $9.6k | 87% | — | $1.1k – $24.0k |
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