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
Renflexis
Low
$18
Average
$413
Median
$273
High
$2.6k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 25.3× 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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50 hospital rates
iThe hospitals that file a Excellus 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 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $26 | $56 | $51 | 92% | — | $14 – $128 |
| 2 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 3 | $28 | $40 | $17 | 43% | — | $28 – $64 |
| 3 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 4 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $416 | $416 | — | — | — | $416 – $416 |
| 5 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $619 | $790 | $264 | 33% | — | $588 – $1.2k |
| 6 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $28 | $28 | — | — | — | $28 – $28 |
| 7 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $27 | $27 | — | — | — | $27 – $27 |
| 8 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 10 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | MVHS, Inc. Utica, NY fee schedule · both | 2 | $278 | $278 | — | — | — | $278 – $278 |
| 12 | MVHS, Inc. Utica, NY other · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 13 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 14 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $27 | $27 | — | — | — | $27 – $27 |
| 15 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 16 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 19 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 20 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 21 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $555 | $555 | — | — | — | $555 – $555 |
| 22 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $416 | $416 | — | — | — | $416 – $416 |
| 23 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 2 | $43 | $43 | $15 | 35% | — | $28 – $58 |
| 24 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $47 | $47 | — | — | — | $47 – $47 |
| 25 | Plymouth Medical Center Plymouth, IN facility · fee schedule · both | 1 | $555 | $555 | — | — | — | $555 – $555 |
← Payers reporting HCPCS Q5104 · Snapshot 20261111T120946Z-9134e7f7