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
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The hospitals that file a Caresource 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.
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87 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $144.64 | $144.64 – $144.64 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $1,520 | $1,520 – $1,520 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $1,148 | $775.20 – $1,520 |
| 4 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 1 | $978.69 | $782.80 – $1,175 |
| 5 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $150.17 | $150.17 – $150.17 |
| 6 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $271.00 | $271.00 – $271.00 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $166.45 | $166.45 – $166.45 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $170.06 | $170.06 – $170.06 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $177.19 | $177.19 – $177.19 |
| 10 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 11 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $145.38 | $145.38 – $145.38 |
| 12 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $988.00 | $988.00 – $988.00 |
| 13 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 1 | $978.69 | $782.80 – $1,175 |
| 14 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $1,140 | $1,140 – $1,140 |
| 15 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $1,140 | $1,140 – $1,140 |
| 16 | Deaconess Hospital, Inc Newburgh, IN facility · fee schedule · outpatient | 2 | $950.00 | $760.00 – $1,140 |
| 17 | FAIRVIEW PARK HOSPITAL DUBLIN, GA fee schedule · outpatient | 1 | $775.20 | $775.20 – $775.20 |
| 18 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $159.76 | $159.76 – $159.76 |
| 19 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $106.65 | $106.65 – $106.65 |
| 20 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $760.00 | $760.00 – $760.00 |
| 21 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 2 | $950.00 | $760.00 – $1,140 |
| 22 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 1 | $978.69 | $782.80 – $1,175 |
| 23 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $1,216 | $1,216 – $1,216 |
| 24 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $1,216 | $1,216 – $1,216 |
| 25 | Grady Memorial Hospital Delaware, OH fee schedule · outpatient | 1 | $767.60 | $767.60 – $767.60 |
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