RC 387
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
Cryoprecipitate Aliquot
Low
$21
Average
$160
Median
$98
High
$721
Each hospital's average Molina rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 5.5× 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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30 hospital rates
iThe hospitals that file a Molina 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 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Ascension Providence Waco, TX percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 3 | Ascension Providence Waco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 4 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 5 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 2 | $239 | $239 | $163 | 68% | — | $76 – $402 |
| 6 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 8 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $50 | $50 | $4 | 7% | — | $47 – $54 |
| 9 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 2 | $77 | $77 | $3 | 4% | — | $74 – $80 |
| 10 | Franklin Woods Community Hospital JOHNSON CITY, TN fee schedule · both | 2 | $256 | $256 | $181 | 71% | — | $75 – $437 |
| 11 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $721 | $721 | — | — | — | $721 – $721 |
| 12 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 13 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 2 | $106 | $106 | $32 | 31% | — | $73 – $138 |
| 14 | HSA CGH LLC Coral Gables, FL facility · other · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 15 | Hawkins County Memorial Hospital ROGERSVILLE, TN fee schedule · both | 2 | $259 | $259 | $183 | 71% | — | $76 – $442 |
| 16 | Holston Valley Medical Center KINGSPORT, TN fee schedule · both | 2 | $239 | $239 | $163 | 68% | — | $76 – $402 |
| 17 | Indian Path Community Hospital KINGSPORT, TN fee schedule · both | 2 | $230 | $230 | $155 | 67% | — | $75 – $385 |
| 18 | Johnson City Medical Center JOHNSON CITY, TN fee schedule · both | 2 | $239 | $239 | $164 | 69% | — | $75 – $403 |
| 19 | Johnston Memorial Hospital ABINGDON, VA fee schedule · both | 2 | $240 | $240 | $165 | 69% | — | $75 – $404 |
| 20 | Lonesome Pine Hospital NORTON, VA fee schedule · both | 2 | $242 | $242 | $166 | 69% | — | $76 – $408 |
| 21 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 22 | OCHSNER MEDICAL CENTER � KENNER LLC Kenner, LA fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 23 | OREGON HEALTH & SCIENCE UNIVERSITY PORTLAND, OR percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | $50 | 51% | — | $48 – $147 |
| 24 | Russell County Hospital LEBANON, VA fee schedule · both | 2 | $240 | $240 | $165 | 69% | — | $75 – $404 |
| 25 | Smyth County Community Hospital MARION, VA fee schedule · both | 2 | $240 | $240 | $165 | 69% | — | $75 – $404 |
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