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
$12
Average
$970
Median
$57
High
$7.0k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 182.2× 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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119 hospital rates
iThe hospitals that file a Humana 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 | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 3 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 4 | Campbell County HMA, LLC LaFollette, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 5 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Carolinas Medical Center Davidson, NC percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 2 | $673 | $673 | $420 | 62% | — | $253 – $1.1k |
| 11 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 12 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 2 | $850 | $850 | $65 | 8% | — | $785 – $915 |
| 13 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $4.3k | $4.3k | $1.6k | 37% | — | $2.7k – $5.9k |
| 14 | DIGNITY HEALTH Mt Shasta, CA fee schedule · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 3 | $27 | $36 | $12 | 34% | — | $27 – $53 |
| 16 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $2.5k | $2.5k | $788 | 32% | — | $1.7k – $3.3k |
| 17 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 2 | $2.3k | $2.3k | $603 | 26% | — | $1.7k – $2.9k |
| 19 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 20 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · both | 2 | $52 | $53 | $7 | 14% | — | $44 – $62 |
| 21 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · inpatientfrom % of charges | 1 | $799 | $799 | — | — | — | $799 – $799 |
| 22 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $866 | $866 | — | — | — | $866 – $866 |
| 23 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.0k | $705 | 35% | — | $1.1k – $2.7k |
| 25 | HSA PGH LLC Hialeah, FL facility · other · outpatient | 2 | $12 | $12 | $0 | 2% | — | $12 – $12 |
← Payers reporting HCPCS Q4168 · Snapshot 20261111T120946Z-9134e7f7