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
STOMAHESIVE POWDER
Waco, TX
See all hospitals reporting HCPCS A4371 →Price type
Ascension Providence’s median price of $5 is 2% below the median hospital's median price ($5), higher than 26% of the 764 hospitals reporting HCPCS A4371. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 3 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
Last updated: Jan 1, 2026
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