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
$1.7k
Median
$201
High
$9.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
168 hospitals; the 90th percentile is 375.7× 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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206 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $1.7k | $2.2k | $810 | 37% | — | $1.4k – $3.2k |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $2.5k | $2.5k | $34 | 1% | — | $2.4k – $2.5k |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 3 | $2.4k | $2.4k | $6 | 0% | — | $2.4k – $2.4k |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 5 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $17 | $17 | $2 | 14% | — | $14 – $19 |
| 6 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 2 | $17 | $17 | $2 | 14% | — | $14 – $19 |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 2 | $17 | $17 | $2 | 14% | — | $14 – $19 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $19 | $19 | $0 | 3% | — | $18 – $19 |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 2 | $17 | $17 | $2 | 14% | — | $14 – $19 |
| 10 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 2 | $17 | $17 | $2 | 14% | — | $14 – $19 |
| 11 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 15 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 6 | $4.6k | $4.8k | $2.1k | 44% | — | $1.3k – $8.2k |
| 16 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 7 | $3.2k | $3.1k | $845 | 27% | — | $2.2k – $4.6k |
| 17 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 2 | $9 | $9 | $9 | 95% | — | $1 – $18 |
| 18 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $21 | $0 | 1% | — | $21 – $21 |
| 20 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $21 | $0 | 1% | — | $21 – $21 |
| 21 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 5 | $4.7k | $4.6k | $565 | 12% | — | $3.6k – $5.2k |
| 22 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $2.6k | $2.2k | $566 | 26% | — | $1.4k – $2.6k |
| 23 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · percent of total billed charges · inpatientfrom % of charges | 2 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 24 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · percent of total billed charges · outpatientfrom % of charges | 4 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 25 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 2 | $2.6k | $2.6k | $1.5k | 58% | — | $1.1k – $4.1k |
← Payers reporting HCPCS Q4168 · Snapshot 20261111T120946Z-9134e7f7