RC 813
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
MEMBRANE AMNIOFIX 4X4CM
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$41.7k
Median
$7.8k
High
$161.7k
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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. 56 hospitals; the 90th percentile is 176.2× 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 | Laird Hospital, Inc. Union, MS | $2.4k | $3.4k | $3.0k | 88% | — | $860 – $15.9k |
| 2 | Tristar Centennial Medical Center SPRING HILL, TN | $83.3k | $83.3k | — | — | — | $83.3k – $83.3k |
| 3 | Monmouth Medical Center Southern Campus Lakewood, NJ | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Tristar Southern Hills Medical Center ANTIOCH, TN | $83.3k | $83.3k | — | — | — | $83.3k – $83.3k |
| 5 | Tristar Skyline Medical Center NASHVILLE, TN | $83.3k | $83.3k | — | — | — | $83.3k – $83.3k |
| 6 | Research Medical Center Kansas City, MO | $58k | $63.1k | $7.8k | 12% | — | $55k – $71.9k |
| 7 | Methodist Specialty And Transplant SAN ANTONIO, TX | $121.3k | $110.6k | $32.8k | 30% | — | $55.4k – $146.0k |
| 8 | Methodist Hospital SAN ANTONIO, TX | $113.0k | $98.3k | $36.0k | 37% | — | $55.0k – $146.0k |
| 9 | Rush Medical Foundation Meridian, MS | $2.2k | $3.3k | $2.9k | 88% | — | $863 – $14.6k |
| 10 | Lafayette General Medical Center Inc Lafayette, LA | $5.7k | $9.0k | $7.3k | 82% | — | $2.4k – $36.8k |
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