Unused fallopian tube implant ring at High Point Regional Health

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CLIP INTERNAL L13 MM X W3.5 MM X H4 MM NONMAGNETIC FILSHIE TITANIUM SILICONE RUBBER FALLOPIAN TUBE TUBAL LIGATION SYSTEM

High Point, NC

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Pricing by billing methodology

Price type

How this price compares nationally

High Point Regional Health’s median price of $674 is 56% below the median hospital's median price ($1.5k), higher than 16% of the 587 hospitals reporting HCPCS A4264. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4264 at High Point Regional Health

Negotiated rates from the hospital’s own file: 10 payers, 32 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	UnitedHealthcare medicaid managed care percent of total billed charges · outpatientfrom % of charges	$210	$250	$81	32%	—	$191 – $389
2	WellCare medicaid managed care percent of total billed charges · outpatientfrom % of charges	$210	$250	$81	32%	—	$191 – $389
3	Medcost employee managed care percent of total billed charges · inpatientfrom % of charges	$385	$458	$148	32%	—	$350 – $712
4	Aetna ivl exchange percent of total billed charges · inpatientfrom % of charges	$428	$509	$165	32%	—	$389 – $792
5	Aetna ivl exchange percent of total billed charges · outpatientfrom % of charges	$428	$509	$165	32%	—	$389 – $792
6	Oscar managed care percent of total billed charges · outpatientfrom % of charges	$431	$513	$166	32%	—	$392 – $798
7	Blue Cross Blue Shield blue local individual percent of total billed charges · outpatientfrom % of charges	$444	$529	$171	32%	—	$405 – $823
8	Ambetter managed care percent of total billed charges · outpatientfrom % of charges	$459	$547	$177	32%	—	$418 – $851
9	Medcost employee managed care percent of total billed charges · outpatientfrom % of charges	$464	$552	$178	32%	—	$422 – $859
10	Medcost ultra managed care percent of total billed charges · outpatientfrom % of charges	$564	$672	$217	32%	—	$514 – $1.0k
11	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$566	$673	$218	32%	—	$515 – $1.0k
12	Oscar managed care percent of total billed charges · inpatientfrom % of charges	$574	$684	$221	32%	—	$523 – $1.1k
13	Aetna nc+ preferred managed care percent of total billed charges · inpatientfrom % of charges	$584	$696	$225	32%	—	$532 – $1.1k
14	Blue Cross Blue Shield hpn percent of total billed charges · outpatientfrom % of charges	$600	$714	$231	32%	—	$546 – $1.1k
15	Medcost ultra managed care percent of total billed charges · inpatientfrom % of charges	$603	$718	$232	32%	—	$549 – $1.1k
16	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$604	$719	$233	32%	—	$550 – $1.1k
17	Aetna nc+ preferred managed care percent of total billed charges · outpatientfrom % of charges	$616	$733	$237	32%	—	$561 – $1.1k
18	Blue Cross Blue Shield blue value percent of total billed charges · outpatientfrom % of charges	$677	$806	$261	32%	—	$617 – $1.3k
19	Blue Cross Blue Shield hmo/ppo percent of total billed charges · outpatientfrom % of charges	$713	$849	$274	32%	—	$649 – $1.3k
20	Aetna broad network percent of total billed charges · inpatientfrom % of charges	$732	$872	$282	32%	—	$667 – $1.4k
21	UnitedHealthcare iex individual managed care percent of total billed charges · outpatientfrom % of charges	$748	$890	$288	32%	—	$681 – $1.4k
22	Aetna broad network percent of total billed charges · outpatientfrom % of charges	$754	$897	$290	32%	—	$686 – $1.4k
23	Medcost leased and mbs managed care percent of total billed charges · inpatientfrom % of charges	$787	$937	$303	32%	—	$716 – $1.5k
24	Cigna managed care percent of total billed charges · outpatientfrom % of charges	$788	$938	$303	32%	—	$718 – $1.5k
25	Aetna managed care percent of total billed charges · inpatientfrom % of charges	$876	$1.0k	$337	32%	—	$797 – $1.6k

Page 1 of 2 · 32 rates

Last updated: Oct 8, 2025

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