APC N902
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
Packaged Services
Low
$0
Average
$362
Median
$62
High
$5.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 118.8× 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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77 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 | MUSC Medical Center Charleston, SC facility · other · outpatient | 4 | $125 | $122 | $15 | 13% | 207–225 | $98 – $140 |
| 2 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 4 | $50 | $58 | $22 | 37% | 169–187 | $38 – $95 |
| 3 | Rochester General Hospital Rochester, NY facility · other · outpatient | 2 | $279 | $279 | $74 | 27% | 140–149 | $205 – $353 |
| 4 | Corewell Health Blodgett Hospital East Grand Rapids, MI facility · other · outpatient | 2 | $45 | $45 | $31 | 69% | 115 | $14 – $77 |
| 5 | Corewell Health Butterworth Hospital Grand Rapids, MI facility · other · outpatient | 2 | $45 | $45 | $31 | 69% | 115 | $14 – $77 |
| 6 | Corewell Helen Devos Childrens Hospital Grand Rapids, MI facility · other · outpatient | 2 | $45 | $45 | $31 | 69% | 115 | $14 – $77 |
| 7 | University of California Davis Medical Center Sacramento, CA other · outpatient | 1 | $52 | $52 | — | — | 103 | $52 – $52 |
| 8 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 1 | $138 | $138 | — | — | 37 | $138 – $138 |
| 9 | Medical University Hospital Authority Orangeburg, SC facility · other · outpatient | 3 | $132 | $130 | $7 | 5% | 36–45 | $120 – $137 |
| 10 | Fort Hamilton Hospital Hamilton, OH other · outpatient | 3 | $1.6k | $4.9k | $5.2k | 106% | 27–45 | $869 – $12.3k |
| 11 | William Beaumont Hospital Royal Oak, MI facility · other · outpatient | 2 | $5 | $5 | $0 | 1% | 27–36 | $5 – $5 |
| 12 | William Beaumont Hospital Troy, MI facility · other · outpatient | 2 | $5 | $5 | $0 | 1% | 27–36 | $5 – $5 |
| 13 | Oakwood Healthcare Inc Wayne, MI facility · other · outpatient | 1 | $74 | $74 | — | — | 25 | $74 – $74 |
| 14 | Legacy Salmon Creek Medical Center Vancouver, WA other · outpatient | 1 | $7 | $7 | — | — | 23 | $7 – $7 |
| 15 | Corewell Health Farmington Hills Hospital Farmington Hills, MI facility · other · outpatient | 1 | $2 | $2 | — | — | 21 | $2 – $2 |
| 16 | The Unity Hospital of Rochester Rochester, NY facility · other · outpatient | 1 | $182 | $182 | — | — | 21 | $182 – $182 |
| 17 | Oakwood Healthcare Inc Dearborn, MI facility · other · outpatient | 1 | $5 | $5 | — | — | 20 | $5 – $5 |
| 18 | Providence Health and Services - Oregon Hood River, OR other · outpatient | 1 | $106 | $106 | — | — | 19 | $106 – $106 |
| 19 | Dayton Osteopathic Hospital Dayton, OH other · outpatient | 2 | $1.7k | $1.7k | $277 | 16% | 18–27 | $1.4k – $2.0k |
| 20 | Adventhealth Manchester Manchester, KY other · outpatient | 1 | $19 | $19 | — | — | 11 | $19 – $19 |
| 21 | Beavercreek Medical Center Springfield, OH other · outpatient | 3 | $2.2k | $2.5k | $744 | 30% | 3–30 | $1.7k – $3.5k |
| 22 | Kettering Medical Center Middletown, OH other · outpatient | 3 | $1.1k | $848 | $557 | 66% | 3–30 | $82 – $1.4k |
| 23 | West Chester Hospital, LLC West Chester, OH other · outpatient | 3 | $51 | $62 | $18 | 29% | 3–30 | $48 – $87 |
| 24 | Corewell Health Ludington Hospital Ludington, MI facility · other · outpatient | 2 | $14 | $14 | $8 | 54% | 2–20 | $6 – $22 |
| 25 | Corewell Health Zeeland Community Hospital Zeeland, MI facility · other · outpatient | 2 | $9 | $9 | $4 | 43% | 2–20 | $5 – $14 |
← Payers reporting APC N902 · Snapshot 20261111T120946Z-9134e7f7