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 Q4168) AMNIOBAND, 1 MG
Low
$0
Average
$612
Median
$437
High
$2.1k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 177.8× 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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47 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 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 2 | $454 | $454 | $29 | 6% | — | $425 – $484 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 2 | $471 | $471 | $25 | 5% | — | $446 – $496 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 2 | $466 | $466 | $30 | 6% | — | $436 – $496 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 2 | $461 | $461 | $35 | 8% | — | $426 – $496 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 2 | $451 | $451 | $44 | 10% | — | $407 – $496 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $435 | $435 | $48 | 11% | — | $387 – $484 |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · inpatientfrom % of charges | 2 | $597 | $597 | $31 | 5% | — | $566 – $629 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $581 | $581 | $48 | 8% | — | $533 – $629 |
| 10 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $435 | $435 | $48 | 11% | — | $387 – $484 |
| 11 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 13 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $679 | $679 | — | — | — | $679 – $679 |
| 14 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 15 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $426 | $426 | — | — | — | $426 – $426 |
| 18 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $382 | $382 | — | — | — | $382 – $382 |
| 19 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 20 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 21 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 22 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · inpatientfrom % of charges | 1 | $679 | $679 | — | — | — | $679 – $679 |
| 24 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 25 | Newton Medical Center Newton, NJ other · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
← Payers reporting HCPCS Q4168 · Snapshot 20261111T120946Z-9134e7f7