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
PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE
The hospitals that file a Aetna Better 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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160 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $375.06 | $375.06 – $375.06 |
| 2 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY fee schedule · both | 1 | $398.81 | $398.81 – $398.81 |
| 3 | Abington Memorial Hospital Abington, PA professional · fee schedule · both | 1 | $107.94 | $104.92 – $108.95 |
| 4 | Alexian Brothers Medical Center Village, IL other · inpatient | 1 | $770.11 | $770.11 – $770.11 |
| 5 | Alexian Brothers Medical Center Village, IL other · outpatient | 1 | $770.11 | $770.11 – $770.11 |
| 6 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $337.92 | $337.92 – $337.92 |
| 7 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $587.47 | $587.47 – $587.47 |
| 8 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 2 | $862.91 | $862.91 – $862.91 |
| 9 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 2 | $862.91 | $862.91 – $862.91 |
| 10 | Broaddus Hospital Association Inc Philippi, WV facility · fee schedule · outpatient | 1 | $63.30 | $63.30 – $63.30 |
| 11 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $146.04 | $54.57 – $237.50 |
| 12 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · fee schedule · outpatient | 1 | $209.72 | $209.72 – $209.72 |
| 13 | Capital Health System Inc Trenton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $201.47 | $201.47 – $201.47 |
| 14 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $201.47 | $201.47 – $201.47 |
| 15 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $74.06 | $74.06 – $74.06 |
| 16 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $74.06 | $74.06 – $74.06 |
| 17 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $74.06 | $74.06 – $74.06 |
| 18 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $74.06 | $74.06 – $74.06 |
| 19 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $470.49 | $470.49 – $470.49 |
| 20 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 1 | $2,473 | $2,473 – $2,473 |
| 21 | Charleston Area Medical Center Charleston, WV fee schedule · both | 1 | $62.79 | $62.79 – $62.79 |
| 22 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $757.27 | $757.27 – $757.27 |
| 23 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $756.37 | $756.37 – $756.37 |
| 24 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $650.83 | $650.83 – $650.83 |
| 25 | Children's National Hospital Washington, DC professional · fee schedule · both | 1 | $78.16 | $75.22 – $81.10 |
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