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 First Health 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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34 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AdventHealth Deland Deland, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 2 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 3 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 4 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 5 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 6 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 7 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 8 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 9 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 10 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 11 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 12 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 13 | Banner Community Hospital Torrington, WY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,184 | $2,184 – $2,184 |
| 14 | Banner Community Hospital Torrington, WY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,184 | $2,184 – $2,184 |
| 15 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,184 | $2,184 – $2,184 |
| 16 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,184 | $2,184 – $2,184 |
| 17 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,184 | $2,184 – $2,184 |
| 18 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,184 | $2,184 – $2,184 |
| 19 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $407.43 | $407.43 – $407.43 |
| 20 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $367.50 | $367.50 – $367.50 |
| 21 | ChristianaCare Wilmington, DE facility · fee schedule · outpatient | 1 | $448.17 | $448.17 – $448.17 |
| 22 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $367.50 | $367.50 – $367.50 |
| 23 | Orlando Health Melbourne Hospital Melbourne, FL fee schedule · outpatient | 1 | $794.49 | $794.49 – $794.49 |
| 24 | Orlando Health Sebastian River Hospital Sebastian, FL fee schedule · outpatient | 1 | $794.49 | $794.49 – $794.49 |
| 25 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $2,118 | $2,118 – $2,118 |
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