APC N805
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.
Generation details were not recorded for this description.
Original text from hospital filings
Durable Medical Equipment
Low
$161
Average
$558
Median
$368
High
$1.7k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 5.1× 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.
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14 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Harborview Medical Center Seattle, WA other · outpatient | 3 | $607 | $496 | $193 | 39% | 112 | $225 – $656 |
| 2 | University of Washington Medical Center Seattle, WA other · outpatient | 2 | $212 | $212 | $177 | 83% | 14–23 | $35 – $388 |
| 3 | MUSC Medical Center Charleston, SC facility · other · outpatient | 4 | $247 | $233 | $40 | 17% | 4–40 | $166 – $270 |
| 4 | Beavercreek Medical Center Springfield, OH other · outpatient | 2 | $311 | $311 | $122 | 39% | 2–20 | $189 – $433 |
| 5 | Corewell Health Blodgett Hospital East Grand Rapids, MI facility · other · outpatient | 2 | $368 | $368 | $54 | 15% | 2–20 | $314 – $421 |
| 6 | Corewell Health Butterworth Hospital Grand Rapids, MI facility · other · outpatient | 2 | $368 | $368 | $54 | 15% | 2–20 | $314 – $421 |
| 7 | Corewell Helen Devos Childrens Hospital Grand Rapids, MI facility · other · outpatient | 2 | $368 | $368 | $54 | 15% | 2–20 | $314 – $421 |
| 8 | Mary Rutan Hospital Bellefontaine, OH other · outpatient | 2 | $1.1k | $1.1k | $463 | 41% | 2–20 | $670 – $1.6k |
| 9 | Greene Memorial Hospital Inc Xenia, OH other · outpatient | 1 | $220 | $220 | — | — | 1–10 | $220 – $220 |
| 10 | Kettering Medical Center Middletown, OH other · outpatient | 1 | $941 | $941 | — | — | 1–10 | $941 – $941 |
| 11 | Marion General Hospital Marion, OH other · outpatient | 1 | $295 | $295 | — | — | 1–10 | $295 – $295 |
| 12 | Methodist West Houston Hospital Houston, TX other · outpatient | 1 | $999 | $999 | — | — | 1–10 | $999 – $999 |
| 13 | Rady Children's Hospital - San Diego Murrieta, CA facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 14 | University of California Davis Medical Center Sacramento, CA other · outpatient | 1 | $161 | $161 | — | — | 1–10 | $161 – $161 |
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