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
Exc Lesn Bgn Trunk/Arm/Leg 1.1-2.0
Low
$1
Average
$822
Median
$639
High
$23.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
777 hospitals; the 90th percentile is 17.1× 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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1,145 hospital rates
iThe hospitals that file a Molina 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $536 | $536 | — | — | 13 | $536 – $536 |
| 2 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 7 | $2.3k | $2.9k | $2.3k | 78% | 3–30 | $672 – $7.4k |
| 3 | ST JOSEPHS HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS Carlyle, IL fee schedule · outpatient | 1 | $364 | $364 | — | — | 3–30 | $364 – $364 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 6 | $43 | $42 | $6 | 14% | 2–20 | $32 – $49 |
| 5 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $751 | $842 | $539 | 64% | 2–20 | $318 – $1.5k |
| 6 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 7 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $586 | $586 | $65 | 11% | 1–10 | $521 – $652 |
| 8 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 2 | $586 | $586 | $65 | 11% | 1–10 | $521 – $652 |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 3 | $741 | $709 | $237 | 34% | 1–10 | $403 – $982 |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · other · outpatient | 3 | $694 | $693 | $236 | 34% | 1–10 | $403 – $982 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $79 | $75 | $20 | 27% | 1–10 | $55 – $109 |
| 12 | Mercy Health Lakeshore Campus Shelby, MI facility · other · both | 1 | $544 | $544 | — | — | 1–10 | $544 – $544 |
| 13 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · both | 4 | $67 | $74 | $22 | 30% | 1–10 | $55 – $109 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $79 | $89 | $14 | 16% | 1–10 | $79 – $109 |
| 15 | Natchez Hospital Company LLC Natchez, MS facility · other · outpatient | 2 | $560 | $560 | $19 | 3% | 1–10 | $542 – $579 |
| 16 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 2 | $722 | $722 | $17 | 2% | 1–10 | $705 – $739 |
| 17 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 18 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 2 | $722 | $722 | $17 | 2% | 1–10 | $705 – $739 |
| 19 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 20 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC fee schedule · both | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 21 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $695 | $695 | — | — | 1–10 | $695 – $695 |
| 22 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS fee schedule · outpatient | 2 | $842 | $842 | $290 | 34% | 1–10 | $552 – $1.1k |
| 23 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $695 | $695 | $340 | 49% | 1–10 | $355 – $1.0k |
| 24 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $439 | $439 | — | — | 1–10 | $439 – $439 |
| 25 | St Joseph Mercy Oakland Pontiac, MI facility · other · both | 3 | $691 | $666 | $217 | 33% | 1–10 | $388 – $917 |
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