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 Carefirst 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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63 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $723.47 | $723.47 – $723.47 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $723.47 | $723.47 – $723.47 |
| 3 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $2,500 | $2,500 – $2,500 |
| 4 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $756.37 | $756.37 – $756.37 |
| 5 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $633.24 | $633.24 – $633.24 |
| 6 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $91.44 | $87.19 – $96.88 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $7,541 | $7,541 – $7,541 |
| 8 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $1,185 | $943.00 – $1,430 |
| 9 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $1,185 | $943.00 – $1,430 |
| 10 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $1,185 | $943.00 – $1,430 |
| 11 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $1,185 | $943.00 – $1,430 |
| 12 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $1,185 | $943.00 – $1,430 |
| 13 | MedStar Georgetown Hospital Washington, DC facility · case rate · outpatient | 2 | $2,194 | $2,018 – $2,370 |
| 14 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $836.55 | $836.55 – $836.55 |
| 15 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $2,802 | $2,802 – $2,802 |
| 16 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 3 | $815.15 | $815.15 – $815.15 |
| 17 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 3 | $3,925 | $3,925 – $3,925 |
| 18 | MedStar Washington Hospital Center NW, WA facility · case rate · outpatient | 2 | $1,878 | $1,717 – $2,039 |
| 19 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $836.55 | $836.55 – $836.55 |
| 20 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $2,991 | $2,991 – $2,991 |
| 21 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $584.83 | $584.83 – $584.83 |
| 22 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $594.08 | $594.08 – $594.08 |
| 23 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $723.47 | $723.47 – $723.47 |
| 24 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $723.47 | $723.47 – $723.47 |
| 25 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $723.47 | $723.47 – $723.47 |
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