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
$20
Average
$500
Median
$208
High
$2.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
49 hospitals; the 90th percentile is 80.7× 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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49 hospital rates
iThe hospitals that file a WellCare 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 | $570 | $570 | — | — | — | $570 – $570 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 4 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 5 | Campbell County HMA, LLC LaFollette, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 6 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 8 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 10 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 13 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 14 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 15 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 16 | HMH HOSPITALS CORPORATION Brick, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 17 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 18 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 19 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 20 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 21 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 22 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · bothfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 23 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $208 | $272 | 131% | — | $15 – $591 |
| 24 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | $304 | 21% | — | $1.1k – $1.7k |
| 25 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
← Payers reporting HCPCS Q4168 · Snapshot 20261111T120946Z-9134e7f7