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
HC Pouch Collection Fms Flexi-Seal
Concord, CA
See all hospitals reporting HCPCS A4330 →Price type
John Muir Health’s median price of $219 is 2042% above the median hospital's median price ($10), higher than 99% of the 705 hospitals reporting HCPCS A4330. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 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 umr jmh employee [104910410] percent of total billed charges · bothfrom % of charges | $565 | $565 | $450 | 80% | — | $115 – $1.0k |
| 2 | UnitedHealthcare hpmg-united hmo [104910301] percent of total billed charges · bothfrom % of charges | $601 | $601 | $479 | 80% | — | $122 – $1.1k |
| 3 | UnitedHealthcare united healthcare hmo-mmg [104902601] percent of total billed charges · bothfrom % of charges | $601 | $601 | $479 | 80% | — | $122 – $1.1k |
| 4 | UnitedHealthcare united healthcare hmo-other medical group [104910303] percent of total billed charges · bothfrom % of charges | $601 | $601 | $479 | 80% | — | $122 – $1.1k |
| 5 | Cigna cigna hmo/pos-mmg [101002601] percent of total billed charges · bothfrom % of charges | $607 | $607 | $484 | 80% | — | $123 – $1.1k |
| 6 | Cigna hpmg-cigna hmo/pos [101010302] percent of total billed charges · bothfrom % of charges | $607 | $607 | $484 | 80% | — | $123 – $1.1k |
| 7 | UnitedHealthcare united healthcare select plus [104910411] percent of total billed charges · bothfrom % of charges | $625 | $625 | $498 | 80% | — | $127 – $1.1k |
| 8 | UnitedHealthcare united healthcare ppo [104910403] percent of total billed charges · bothfrom % of charges | $699 | $699 | $557 | 80% | — | $142 – $1.3k |
| 9 | Blue Cross Blue Shield blue shield hmo-calpers-other medical group [100610305] percent of total billed charges · bothfrom % of charges | $741 | $741 | $591 | 80% | — | $151 – $1.3k |
| 10 | Blue Cross Blue Shield blue shield hmo-mmg [100602601] percent of total billed charges · bothfrom % of charges | $759 | $759 | $605 | 80% | — | $154 – $1.4k |
| 11 | Blue Cross Blue Shield blue shield hmo-mmg calpers [100602602] percent of total billed charges · bothfrom % of charges | $759 | $759 | $605 | 80% | — | $154 – $1.4k |
| 12 | Blue Cross Blue Shield blue shield hmo-mmg trio [100602604] percent of total billed charges · bothfrom % of charges | $759 | $759 | $605 | 80% | — | $154 – $1.4k |
| 13 | Blue Cross Blue Shield hpmg-blue shield hmo [100610301] percent of total billed charges · bothfrom % of charges | $759 | $759 | $605 | 80% | — | $154 – $1.4k |
| 14 | Blue Cross Blue Shield hpmg-blue shield hmo trio [100602606] percent of total billed charges · bothfrom % of charges | $759 | $759 | $605 | 80% | — | $154 – $1.4k |
| 15 | Anthem anthem doctors medical center [100210407] percent of total billed charges · bothfrom % of charges | $777 | $777 | $619 | 80% | — | $158 – $1.4k |
| 16 | Blue Cross Blue Shield blue shield covered california ifp on exchange [100610404] percent of total billed charges · bothfrom % of charges | $795 | $795 | $633 | 80% | — | $162 – $1.4k |
| 17 | Aetna aetna hmo-mmg [100102601] percent of total billed charges · bothfrom % of charges | $808 | $808 | $644 | 80% | — | $164 – $1.5k |
| 18 | Aetna hpmg-aetna hmo [100110301] percent of total billed charges · bothfrom % of charges | $808 | $808 | $644 | 80% | — | $164 – $1.5k |
| 19 | Cigna cigna ppo/epo [101010401] percent of total billed charges · bothfrom % of charges | $856 | $856 | $682 | 80% | — | $174 – $1.5k |
| 20 | Aetna aetna epo [100110401] percent of total billed charges · bothfrom % of charges | $864 | $864 | $689 | 80% | — | $176 – $1.6k |
| 21 | Aetna aetna life [100100101] percent of total billed charges · bothfrom % of charges | $864 | $864 | $689 | 80% | — | $176 – $1.6k |
| 22 | Blue Cross Blue Shield blue shield ppo [100610402] percent of total billed charges · bothfrom % of charges | $880 | $880 | $701 | 80% | — | $179 – $1.6k |
| 23 | Kaiser kaiser [103310301] percent of total billed charges · bothfrom % of charges | $885 | $885 | $705 | 80% | — | $180 – $1.6k |
| 24 | First Health coventry healthcare [101610401] percent of total billed charges · bothfrom % of charges | $956 | $956 | $762 | 80% | — | $194 – $1.7k |
| 25 | Humana humana-choice care [103010401] percent of total billed charges · bothfrom % of charges | $992 | $992 | $791 | 80% | — | $202 – $1.8k |
Last updated: Mar 23, 2026
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