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
Prgrmg Dev Eval Scrms Phys/Qhp Remote
Low
$0
Average
$100
Median
$78
High
$395
Each hospital's average First Health rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 19360.0× 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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36 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 5 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $8 | 10% | — | $69 – $85 |
| 6 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $39 | $39 | $16 | 41% | — | $20 – $58 |
| 7 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $39 | $39 | $16 | 41% | — | $20 – $58 |
| 8 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 14 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 15 | Holy Family Memorial Inc Manitowoc, WI percent of total billed charges · inpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 16 | Holy Family Memorial Inc Manitowoc, WI percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 17 | Kaweah Health Medical Center Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 18 | Kaweah Health Mental Health Hospital Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 19 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 20 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 21 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 22 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 23 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $48 | $12 | 25% | — | $36 – $65 |
| 24 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $39 | $10 | 25% | — | $30 – $53 |
| 25 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $39 | $10 | 25% | — | $30 – $53 |
← Payers reporting CPT 0650T · Snapshot 20261113T090226Z-3ce6c0b8