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 Q4174) PALINGEN OR PROMATRX
Low
$48
Average
$354
Median
$51
High
$2.5k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 18.1× 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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33 hospital rates
iThe hospitals that file a Caresource 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 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 2 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 3 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Indiana University Health Bedford Inc. Bedford, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 6 | Indiana University Health Bloomington Inc. Bloomington, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Indiana University Health Frankfort Inc. Frankfort, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 8 | Indiana University Health Inc. Martinsville, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 9 | Indiana University Health Jay Inc. Portland, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 10 | Indiana University Health North Hospital Inc. Carmel, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 11 | Indiana University Health Paoli Inc. Paoli, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 12 | Indiana University Health Tipton Hospital Inc. Tipton, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 13 | Indiana University Health West Hospital Inc. Avon, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 14 | Indiana University Health White Memorial Hospital Inc. Monticello, IN fee schedule · outpatient | 2 | $51 | $51 | — | — | — | $51 – $51 |
| 15 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 1 | $530 | $530 | — | — | — | $530 – $530 |
| 16 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Northside Hospital, Inc. Atlanta, GA other · outpatient | 1 | $537 | $537 | — | — | — | $537 – $537 |
| 19 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Northside Hospital, Inc. Cumming, GA other · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 22 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Northside Hospital, Inc. Duluth, GA other · outpatient | 1 | $373 | $373 | — | — | — | $373 – $373 |
| 25 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
← Payers reporting HCPCS Q4174 · Snapshot 20261112T181611Z-3fa9fb76