APC 05012
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
ESTABLISHED DETAILED (PM)LEV 4
Low
$78
Average
$164
Median
$135
High
$312
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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. 12 hospitals; the 90th percentile is 3.3× 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 | Armstrong County Memorial Hospital Kittanning, PA | $307 | $275 | $69 | 25% | 3,021–3,480 | $112 – $412 |
| 2 | The Toledo Hospital Toledo, OH | $421 | $271 | $170 | 63% | 1–10 | $73 – $421 |
| 3 | Northside Hospital, Inc. Lawrenceville, GA | $134 | $134 | — | — | — | $131 – $158 |
| 4 | Northside Hospital, Inc. Canton, GA | $135 | $135 | — | — | — | $133 – $169 |
| 5 | Northside Hospital, Inc. Atlanta, GA | $135 | $135 | — | — | — | $133 – $169 |
| 6 | Northside Hospital, Inc. Duluth, GA | $134 | $134 | — | — | — | $131 – $158 |
| 7 | Northside Hospital, Inc. Cumming, GA | $135 | $135 | — | — | — | $133 – $169 |
| 8 | Bay Park Community Hospital Oregon, OH | $499 | $312 | $209 | 67% | — | $73 – $499 |
| 9 | Mercy Memorial Hospital Corporation Monroe, MI | $79 | $79 | $1 | 2% | — | $73 – $136 |
| 10 | Emma L Bixby Medical Center Adrian, MI | $78 | $78 | $1 | 1% | — | $73 – $139 |
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