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 Amerihealth Caritas 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 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 2 | $390.41 | $77.29 – $703.53 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $75.20 | $75.20 – $75.20 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $364.73 | $364.73 – $364.73 |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $75.20 | $75.20 – $75.20 |
| 6 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $291.58 | $291.58 – $291.58 |
| 7 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $75.20 | $75.20 – $75.20 |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $386.70 | $386.70 – $386.70 |
| 9 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $587.47 | $587.47 – $587.47 |
| 10 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $791.00 | $791.00 – $791.00 |
| 11 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $791.00 | $791.00 – $791.00 |
| 12 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 1 | $780.53 | $780.53 – $780.53 |
| 13 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 1 | $805.51 | $805.51 – $805.51 |
| 14 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $75.20 | $75.20 – $75.20 |
| 15 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $563.77 | $563.77 – $563.77 |
| 16 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $75.20 | $75.20 – $75.20 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $563.77 | $563.77 – $563.77 |
| 18 | Carolinas Medical Center Davidson, NC fee schedule · both | 1 | $75.20 | $75.20 – $75.20 |
| 19 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $563.77 | $563.77 – $563.77 |
| 20 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $75.20 | $75.20 – $75.20 |
| 21 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $563.77 | $563.77 – $563.77 |
| 22 | CentraState Medical Center Freehold Township, NJ other · both | 1 | $776.50 | $776.50 – $776.50 |
| 23 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $3,159 | $3,159 – $3,159 |
| 24 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 1 | $99.77 | $99.77 – $99.77 |
| 25 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $243.45 | $243.45 – $243.45 |
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