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 Mdi Spacer With Mask
Low
$0
Average
$119
Median
$151
High
$195
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 19062.0× 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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9 hospital rates
iThe hospitals that file a MultiPlan 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 Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 4 | Sweetwater Hospital Association Sweetwater, TN fee schedule · both | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 5 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 6 | University of Virginia Culpeper Medical Center Culpeper, VA percent of total billed charges · bothfrom % of charges | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 7 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 8 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 9 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 1 | $169 | $169 | — | — | — | $169 – $169 |
← Payers reporting HCPCS S8101 · Snapshot 20261111T120946Z-9134e7f7