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
HYDROXYETHYLCELLULOSE-GLYCERIN IN WATER INTRAUTERINE INFUSION FOAM SYR
Prices here combine facility and professional fees. See them separately →Experimental
Low
$432
Average
$688
Median
$471
High
$3.3k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 13 hospitals; the 90th percentile is 1.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Carolinas Medical Center Charlotte, NC | $443 | $470 | $191 | 41% | — | $191 – $788 |
| 2 | University Hospitals Health System Cleveland, OH | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 3 | Atrium Health Hospitals Inc Shelby, NC | $467 | $473 | $221 | 47% | — | $123 – $831 |
| 4 | Carolinas Medical Center Charlotte, NC | $465 | $488 | $190 | 39% | — | $191 – $788 |
| 5 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC | $425 | $444 | $224 | 51% | — | $88 – $805 |
| 6 | The Charlotte Mecklenburg Hospital Authority Concord, NC | $438 | $459 | $220 | 48% | — | $107 – $831 |
| 7 | The Charlotte Mecklenburg Hospital Authority Monroe, NC | $408 | $454 | $227 | 50% | — | $114 – $831 |
| 8 | Atrium Health Hospitals Inc Lincolnton, NC | $410 | $432 | $221 | 51% | — | $99 – $831 |
| 9 | Carolinas Medical Center Charlotte, NC | $465 | $471 | $237 | 50% | — | $166 – $875 |
| 10 | Carolinas Medical Center Charlotte, NC | $438 | $471 | $194 | 41% | — | $191 – $805 |
Ask Claude or any MCP client for HCPCS S4024 pricing at a specific hospital — see how to connect.