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
PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<
The hospitals that file a Medical Mutual 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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215 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $544.30 | $544.30 – $544.30 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $191.57 | $191.57 – $191.57 |
| 3 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $550.00 | $550.00 – $550.00 |
| 4 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $550.00 | $550.00 – $550.00 |
| 5 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $550.00 | $550.00 – $550.00 |
| 6 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $317.87 | $317.87 – $317.87 |
| 7 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $87.28 | $87.28 – $87.28 |
| 8 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $287.40 | $213.30 – $419.40 |
| 9 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $199.43 | $199.43 – $199.43 |
| 10 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $544.30 | $544.30 – $544.30 |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $23.91 | $23.91 – $23.91 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $23.91 | $23.91 – $23.91 |
| 13 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $23.91 | $23.91 – $23.91 |
| 14 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $272.32 | $272.32 – $272.32 |
| 15 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $23.91 | $23.91 – $23.91 |
| 16 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $62.10 | $62.10 – $62.10 |
| 17 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 2 | $1,126 | $889.08 – $1,362 |
| 18 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 2 | $1,126 | $889.08 – $1,362 |
| 19 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $215.90 | $215.90 – $215.90 |
| 20 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $192.66 | $192.66 – $192.66 |
| 21 | Coshocton Regional Medical Center Coshocton, OH percent of total billed charges · outpatientfrom % of charges | 1 | $1,124 | $1,124 – $1,124 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $20.32 | $20.32 – $20.32 |
| 23 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $23.91 | $23.91 – $23.91 |
| 24 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $112.36 | $112.36 – $112.36 |
| 25 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $748.68 | $112.36 – $2,658 |
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