RC 252
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
TISSUE AMNIOTIC EPICORD 2X3CM (12 SQ CM) EXPANDABLE 21564
Prices here combine facility and professional fees. See them separately →Experimental
Low
$10
Average
$636
Median
$119
High
$4.9k
Filter by billing methodology
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. 36 hospitals; the 90th percentile is 205.3× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Methodist Hospitals of Dallas Richardson, TX | $203 | $214 | $240 | 112% | 469–523 | $0 – $3.9k |
| 2 | Methodist Hospitals of Dallas Richardson, TX | $203 | $214 | $240 | 112% | 469–523 | $0 – $3.9k |
| 3 | Methodist Hospitals of Dallas Mansfield, TX | $203 | $202 | $133 | 66% | 164 | $0 – $1.9k |
| 4 | Methodist Hospitals of Dallas Dallas, TX | $203 | $216 | $256 | 118% | 39–75 | $0 – $5.3k |
| 5 | Methodist Hospitals of Dallas Coppell, TX | $203 | $206 | $59 | 28% | 30–57 | $0 – $467 |
| 6 | Methodist Hospitals of Dallas Southlake, TX | $203 | $206 | $59 | 28% | 30–57 | $0 – $467 |
| 7 | Methodist Hospitals of Dallas Midlothian, TX | $203 | $197 | $70 | 35% | 5–50 | $0 – $467 |
| 8 | Methodist Hospitals of Dallas Celina, TX | $203 | $220 | $65 | 29% | 2–20 | $0 – $822 |
| 9 | Samaritan Medical Center Watertown, NY | $17 | $17 | — | — | 2–20 | $17 – $17 |
| 10 | Forsyth Memorial Hospital, Inc. Clemmons, NC | $10 | $10 | — | — | — | $10 – $10 |
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