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
HC TCAT INSJ PERM DUAL CHAMBER LDLS PM COMPL SYS
The hospitals that file a Optum 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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182 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $17,334 | $17,334 – $17,334 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $5,004 | $5,004 – $5,004 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $17,621 | $17,621 – $17,621 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16,399 | $16,399 – $16,399 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $2,254 | $2,254 – $2,254 |
| 6 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $14,234 | $14,234 – $14,234 |
| 7 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $18,827 | $18,827 – $18,827 |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $19,262 | $19,071 – $19,453 |
| 9 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $16,445 | $16,445 – $16,445 |
| 10 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $15,499 | $15,499 – $15,499 |
| 11 | BRFHH MONROE, LLC Monroe, LA case rate · outpatient | 1 | $17,334 | $17,334 – $17,334 |
| 12 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25,028 | $25,028 – $25,028 |
| 13 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $25,028 | $25,028 – $25,028 |
| 14 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $92,500 | $92,500 – $92,500 |
| 15 | Boston Children's Hospital Boston, MA case rate · both | 1 | $5,956 | $5,956 – $5,956 |
| 16 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $24,326 | $20,359 – $26,623 |
| 17 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $19,285 | $19,285 – $19,285 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $19,285 | $19,285 – $19,285 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $19,285 | $19,285 – $19,285 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $19,285 | $19,285 – $19,285 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $19,285 | $19,285 – $19,285 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $19,285 | $19,285 – $19,285 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $19,285 | $19,285 – $19,285 |
| 24 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 3 | $22,309 | $12,394 – $37,926 |
| 25 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $18,716 | $18,716 – $18,716 |
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