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
HC (SUP SHELL Q4162) WNDEX FLW, BIOSKN FLW, 0.5CC
Low
$51
Average
$2.8k
Median
$1.9k
High
$13.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 9.2× 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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30 hospital rates
iThe hospitals that file a Molina 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 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 4 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 7 | Columbus Regional Healthcare System, Inc Whiteville, NC case rate · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $1.5k | $2.1k | $881 | 42% | — | $1.5k – $3.4k |
| 9 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | FLAGET HEALTHCARE, INC Bardstown, KY fee schedule · outpatient | 1 | $583 | $583 | — | — | — | $583 – $583 |
| 11 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $2.8k | $2.8k | $733 | 26% | — | $2.1k – $3.6k |
| 13 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 14 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 15 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 16 | Norton Healthcare Indiana Inc Jeffersonville, IN fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 17 | SAINT JOSEPH HEALTH SYSTEM, INC London, KY fee schedule · outpatient | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 18 | SAINT JOSEPH HEALTH SYSTEM, INC Berea, KY fee schedule · outpatient | 2 | $915 | $915 | $33 | 4% | — | $882 – $949 |
| 19 | SAINT JOSEPH HEALTH SYSTEM, INC Mt. Sterling, KY fee schedule · outpatient | 1 | $704 | $704 | — | — | — | $704 – $704 |
| 20 | SAINT JOSEPH HEALTH SYSTEM, INC Lexington, KY fee schedule · outpatient | 1 | $733 | $733 | — | — | — | $733 – $733 |
| 21 | SAINT JOSEPH HEALTH SYSTEM, INC Lexington, KY fee schedule · outpatient | 1 | $705 | $705 | — | — | — | $705 – $705 |
| 22 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 23 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 24 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
← Payers reporting HCPCS Q4162 · Snapshot 20261112T181611Z-3fa9fb76