CDM PX-770000017
Prices here combine facility and professional fees. See them separately →Experimental
Rates differ by insurer. See what each payer pays for this code →Experimental
Low
$135
Average
$144
Median
$142
High
$171
Filter by billing methodology
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. 13 hospitals; the 90th percentile is 1.1× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Mercy Hospital Oklahoma City Inc City, OK | $124 | $138 | $35 | 25% | 1,841–1,859 | $118 – $280 |
| 2 | Mercy Hospital Fort Smith Smith, AR | $128 | $135 | $19 | 14% | 1,163–1,190 | $128 – $211 |
| 3 | Mercy Hospital Fort Smith Smith, AR | $128 | $135 | $19 | 14% | 1,163–1,190 | $128 – $211 |
| 4 | Mercy Hospital Ardmore Inc Ardmore, OK | $136 | $151 | $38 | 25% | 439–457 | $136 – $306 |
| 5 | Mercy Hospital Springfield Ozark, MO | $132 | $141 | $28 | 20% | 384–429 | $132 – $255 |
| 6 | Mercy Hospital Springfield Springfield, MO | $132 | $141 | $28 | 20% | 384–429 | $132 – $255 |
| 7 | Mercy Hospital Ada Inc Ada, OK | $133 | $147 | $37 | 25% | 260–287 | $133 – $299 |
| 8 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO | $132 | $171 | $59 | 35% | 160–169 | $89 – $330 |
| 9 | Mercy Hospital South Louis, MO | $132 | $142 | $33 | 23% | — | $132 – $303 |
| 10 | Mercy Hospital Jefferson Festus, MO | $132 | $143 | $33 | 23% | — | $132 – $303 |
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