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
Glass/plastic slab off prism
Prices here combine facility and professional fees. See them separately →Experimental
Low
$36
Average
$135
Median
$90
High
$376
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 5 hospitals; the 90th percentile is 6.7× 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 | Nationwide Children's Hospital Columbus, OH | $49 | $49 | — | — | — | $49 – $49 |
| 2 | La Porte Hospital Company LLC La Porte, IN | $126 | $126 | $36 | 29% | — | $89 – $162 |
| 3 | Montefiore Mount Vernon Hospital Mount Vernon, NY | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $36 | $36 | $0 | 0% | — | $36 – $36 |
| 5 | Montefiore New Rochelle Hospital New Rochelle, NY | $390 | $376 | $25 | 7% | — | $333 – $390 |
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