Spacer bag/reservoir cost at US hospitals

Spacer bag/reservoir · HCPCS A4627

$6.00

lowest cash price

$31.20

national median

$194.40

highest cash price

29

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $6.00–$194.40 — the variation is the story.

Most expensive published cash price

$194.40

UPMC East — Monroeville, PA

Median cash price over time

Sep 1, 2025 ($26.00) → Sep 1, 2026 ($194.40)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 not published by hospital not published by hospital not published by hospital
Florida 2 $22.75 $22.75 $31.20
Illinois 11 $6.60 $6.60 $6.60
Iowa 14 $6.00 $6.60 $6.60
Kansas 1 not published by hospital not published by hospital not published by hospital
Maine 7 $20.00 $26.00 $26.00
Michigan 11 not published by hospital not published by hospital not published by hospital
Minnesota 2 not published by hospital not published by hospital not published by hospital
Missouri 2 not published by hospital not published by hospital not published by hospital
New Hampshire 1 not published by hospital not published by hospital not published by hospital
New Jersey 20 not published by hospital not published by hospital not published by hospital
New York 11 not published by hospital not published by hospital not published by hospital
North Carolina 12 not published by hospital not published by hospital not published by hospital
North Dakota 1 not published by hospital not published by hospital not published by hospital
Ohio 14 $31.20 $31.20 $31.20
Oklahoma 3 not published by hospital not published by hospital not published by hospital
Pennsylvania 6 $153.60 $189.60 $194.40
South Dakota 1 not published by hospital not published by hospital not published by hospital
Texas 10 not published by hospital not published by hospital not published by hospital
Washington 1 not published by hospital not published by hospital not published by hospital
Wisconsin 2 $13.25 $13.25 $51.20

All hospitals

Hospital Location Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport, IA $6.00 not published
MercyOne Genesis Davenport Medical Center Davenport, IA $6.60 not published
MercyOne Genesis Silvis Medical Center Silvis, IL $6.60 $10.12 – $11.00
MercyOne Genesis DeWitt Medical Center DeWitt, IA $6.60 $8.03 – $2,679.00
MercyOne Genesis Aledo Medical Center Aledo, IL $6.60 $11.00 – $2,970.16
Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) Mequon, WI $13.25 $11.64 – $18.84
Waldo County General Hospital Belfast, ME $20.00 $8.48 – $23.05
martin north hospital Stuart, FL $22.75 $4.52 – $19.00
Pen Bay Medical Center Rockport, ME $26.00 $5.50 – $23.05
Lincoln Health Damariscotta, ME $26.00 $8.48 – $23.05
cleveland clinic main campus Cleveland, OH $31.20 $1.10 – $43.20
akron general Akron, OH $31.20 $7.14 – $43.20
avon hospital Avon, OH $31.20 $8.18 – $43.20
cleveland clinic florida weston hospital Weston, FL $31.20 $4.52 – $40.80
euclid hospital Euclid, OH $31.20 $8.18 – $43.20
fairview hospital Cleveland, OH $31.20 $7.46 – $43.20
lutheran hospital Cleveland, OH $31.20 $8.18 – $43.20
hillcrest hospital Mayfield Heights, OH $31.20 $7.46 – $43.20
marymount hospital Garfield Heights, OH $31.20 $8.18 – $43.20
medina hospital Medina, OH $31.20 $6.96 – $43.20
mercy hospital Canton, OH $31.20 $10.46 – $43.20
south pointe hospital Warrensville Heights, OH $31.20 $8.18 – $43.20
UnityPoint Health - Meriter Hospital Madison, WI $51.20 $6.98 – $54.40
UPMC McKeesport Mckeesport, PA $153.60 $8.50 – $271.94
UPMC Magee Pittsburgh, PA $189.60 $8.50 – $271.94
UPMC Passavant-McCandless Pittsburgh, PA $189.60 $40.34 – $394.61
UPMC Presbyterian Pittsburgh, PA $189.60 $21.60 – $439.67
UPMC Western Psychiatric Pittsburgh, PA $189.60 $39.53 – $39.53
UPMC East Monroeville, PA $194.40 $40.34 – $271.94
Kadlec Regional Medical Center Richland, WA not published $31.34 – $31.34
HCA HOUSTON SOUTHEAST PASADENA, TX not published $111.82 – $111.82
Monmouth Medical Center Southern Campus Lakewood, NJ not published $12.04 – $19.72
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK not published $16.29 – $18.81
Atrium Health Carolinas Medical Center Charlotte, NC not published $7.82 – $18.10
Atrium Health University City Charlotte, NC not published $7.82 – $18.10
Carolinas Rehabilitation Charlotte Charlotte, NC not published $7.82 – $18.10
Henry Ford Macomb Hospital Clinton Twp, MI not published $17.14 – $41.12
Monmouth Medical Center Long Branch, NJ not published $12.04 – $19.72
Jersey City Medical Center Jersey City, NJ not published $11.75 – $19.72
Atrium Health Union Monroe, NC not published $7.82 – $18.10
lodi hospital Lodi, OH not published $22.59 – $26.16
Atrium Health Lincoln Lincolnton, NC not published $7.82 – $18.10
Atrium Health Cabarrus Concord, NC not published $7.82 – $18.10
Atrium Health Cleveland Shelby, NC not published $7.82 – $18.10
Atrium Health Behavioral Health Charlotte Charlotte, NC not published $7.82 – $7.82
Atrium Health Stanly Albermarle, NC not published $7.82 – $18.10
cleveland clinic childrens hospital for rehabilitation Cleveland, OH not published $23.58 – $27.30
Atrium Health Pineville Charlotte, NC not published $7.82 – $18.10
Sanford Fargo Medical Center Fargo, ND not published $32.00 – $32.00
Atrium Health Mercy Charlotte, NC not published $7.82 – $18.10

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