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
$7
Average
$790
Median
$32
High
$10.0k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
55 hospitals; the 90th percentile is 145.8× 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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55 hospital rates
iThe hospitals that file a Highmark 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 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $12.1k | $10.0k | $3.6k | 35% | — | $3.9k – $12.1k |
| 4 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 7 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 7 | $19 | $918 | $1.2k | 129% | — | $19 – $3.4k |
| 8 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 11 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 12 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 13 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 14 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 3 | $55 | $52 | $21 | 41% | — | $26 – $73 |
| 15 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 16 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 17 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 18 | Mishawaka Medical Center Mishawaka, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 19 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 20 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 21 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 22 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 23 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 24 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 3 | $55 | $52 | $21 | 41% | — | $26 – $73 |
| 25 | Newton Medical Center Newton, NJ other · outpatient | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
← Payers reporting HCPCS Q4168 · Snapshot 20261111T120946Z-9134e7f7