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 Q4173) PALINGEN OR PALINGEN XPLUS
Low
$50
Average
$218
Median
$185
High
$659
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 3.3× 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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41 hospital rates
iThe hospitals that file a Oscar 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 | Banner Baywood Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | $15 | 15% | — | $84 – $116 |
| 2 | Banner Boswell Medical Center Sun City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 3 | Banner Del E Webb Medical Center Sun City West, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | $16 | 16% | — | $84 – $116 |
| 4 | Banner Desert Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | $28 | 29% | — | $50 – $139 |
| 5 | Banner Estrella Medical Center Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $95 | $13 | 14% | — | $84 – $113 |
| 6 | Banner Gateway Medical Center Gilbert, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $96 | $15 | 15% | — | $84 – $116 |
| 7 | Banner Ocotillo Medical Center Chandler, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $98 | $13 | 13% | — | $84 – $113 |
| 8 | Banner Thunderbird Medical Center Glendale, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $95 | $13 | 14% | — | $84 – $113 |
| 9 | Banner University Med Center South Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Banner University Medical Center Phoenix Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 11 | Banner University Medical Center Tucson Tucscon, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 12 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 13 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $479 | $479 | — | — | — | $479 – $479 |
| 14 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $309 | $309 | $133 | 43% | — | $175 – $442 |
| 15 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $309 | $309 | $133 | 43% | — | $175 – $442 |
| 16 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $309 | $309 | $133 | 43% | — | $175 – $442 |
| 17 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $309 | $309 | $133 | 43% | — | $175 – $442 |
| 18 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $309 | $309 | $133 | 43% | — | $175 – $442 |
| 19 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $309 | $309 | $133 | 43% | — | $175 – $442 |
| 20 | Honorhealth Scottsdale Thompson Peak Med Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $309 | $309 | $133 | 43% | — | $175 – $442 |
| 21 | Honorhealth Sonoran Crossing Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $309 | $309 | $133 | 43% | — | $175 – $442 |
| 22 | Ingalls Memorial Hospital Harvey, IL fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 23 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 24 | OHI West, Inc. Pinellas Park, FL fee schedule · outpatient | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 25 | SSM Health Care of Oklahoma, Inc Midwest City, OK fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
← Payers reporting HCPCS Q4173 · Snapshot 20261112T181611Z-3fa9fb76