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 2.6CM-5.0 CM
Low
$1
Average
$352
Median
$254
High
$3.6k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
238 hospitals; the 90th percentile is 5.4× 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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324 hospital rates
iThe hospitals that file a Caresource 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 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $211 | $211 | $20 | 10% | 13 | $190 – $231 |
| 2 | Coffee Regional Medical Center, Inc Douglas, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | 6–60 | $135 – $135 |
| 3 | Higgins General Hospital Bremen, GA facility · other · outpatient | 1 | $160 | $160 | — | — | 3–30 | $160 – $160 |
| 4 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · other · outpatient | 1 | $179 | $179 | — | — | 3–30 | $179 – $179 |
| 5 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $340 | $340 | $167 | 49% | 2–20 | $173 – $507 |
| 6 | Knox Hospital Company LLC Knox, IN facility · other · outpatient | 3 | $648 | $598 | $71 | 12% | 2–20 | $499 – $648 |
| 7 | La Porte Hospital Company LLC La Porte, IN facility · other · outpatient | 3 | $648 | $598 | $71 | 12% | 2–20 | $499 – $648 |
| 8 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 3 | $201 | $226 | $60 | 26% | 2–20 | $118 – $287 |
| 9 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $493 | $493 | — | — | 2–20 | $493 – $493 |
| 10 | St. Joseph Health System, LLC Wayne, IN facility · other · outpatient | 2 | $648 | $648 | — | — | 2–20 | $648 – $648 |
| 11 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 3 | $215 | $226 | $74 | 33% | 2–20 | $118 – $308 |
| 12 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 3 | $193 | $185 | $36 | 19% | 2–20 | $116 – $212 |
| 13 | Brandon HMA LLC Brandon, MS facility · other · outpatient | 1 | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 14 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $241 | $241 | — | — | 1–10 | $241 – $241 |
| 15 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · outpatient | 1 | $241 | $241 | — | — | 1–10 | $241 – $241 |
| 16 | Dukes Health System LLC Peru, IN facility · other · outpatient | 3 | $648 | $598 | $71 | 12% | 1–10 | $499 – $648 |
| 17 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 2 | $648 | $648 | — | — | 1–10 | $648 – $648 |
| 18 | East Georgia Regional Medical Center LLC Statesboro, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $694 | $694 | — | — | 1–10 | $694 – $694 |
| 19 | FAIRVIEW PARK HOSPITAL DUBLIN, GA percent of total billed charges · outpatientfrom % of charges | 1 | $666 | $666 | — | — | 1–10 | $666 – $666 |
| 20 | Highland District Hospital Hillsboro, OH fee schedule · outpatient | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 21 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 2 | $648 | $648 | — | — | 1–10 | $648 – $648 |
| 22 | MEMORIAL HEALTH MEADOWS HOSPITAL Vidalia, GA percent of total billed charges · outpatientfrom % of charges | 1 | $666 | $666 | — | — | 1–10 | $666 – $666 |
| 23 | Monroe County Hospital Forsyth, GA fee schedule · outpatient | 1 | $132 | $132 | — | — | 1–10 | $132 – $132 |
| 24 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $18.6k | $18.6k | — | — | 1–10 | $18.6k – $18.6k |
| 25 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 3 | $137 | $146 | $46 | 32% | 1–10 | $94 – $206 |
← Payers reporting CPT 12013 · Snapshot 20261111T120946Z-9134e7f7