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
$460
Median
$208
High
$11.7k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
739 hospitals; the 90th percentile is 18.0× 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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1,087 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 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $250 | $220 | $53 | 24% | 27 | $128 – $250 |
| 2 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $112 | $148 | $72 | 49% | 18–27 | $67 – $238 |
| 3 | Harlingen Medical Center Harlingen, TX percent of total billed charges · outpatientfrom % of charges | 2 | $99 | $99 | $32 | 32% | 4–40 | $68 – $131 |
| 4 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $355 | $355 | $20 | 6% | 4–40 | $335 – $375 |
| 5 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | 2–20 | $151 – $151 |
| 6 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | 2–20 | $169 – $169 |
| 7 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $147 | $147 | — | — | 2–20 | $147 – $147 |
| 8 | PeaceHealth Peace Island Medical Center Friday Harbor, WA facility · other · outpatient | 1 | $150 | $150 | $22 | 15% | 2–20 | $128 – $173 |
| 9 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 2 | $192 | $173 | $33 | 19% | 2–20 | $116 – $192 |
| 10 | ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Effingham, IL fee schedule · outpatient | 1 | $80 | $80 | — | — | 2–20 | $80 – $80 |
| 11 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL fee schedule · outpatient | 1 | $166 | $166 | — | — | 2–20 | $166 – $166 |
| 12 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 1 | $83 | $83 | — | — | 2–20 | $83 – $83 |
| 13 | ST JOSEPHS HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS Carlyle, IL fee schedule · outpatient | 1 | $158 | $158 | — | — | 2–20 | $158 – $158 |
| 14 | ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS HIGHLAND, IL fee schedule · outpatient | 1 | $368 | $368 | — | — | 2–20 | $368 – $368 |
| 15 | ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Chatham, IL fee schedule · outpatient | 1 | $166 | $166 | — | — | 2–20 | $166 – $166 |
| 16 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $65 | $65 | $31 | 48% | 2–20 | $34 – $96 |
| 17 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $614 | $614 | — | — | 2–20 | $614 – $614 |
| 18 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $321 | $321 | $28 | 9% | 2–20 | $293 – $350 |
| 19 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $484 | $334 | $184 | 55% | 2–20 | $109 – $484 |
| 20 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 2 | $205 | $170 | $43 | 25% | 2–20 | $117 – $205 |
| 21 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 22 | Abbeville Area Medical Center Abbeville, SC facility · other · outpatient | 1 | $294 | $294 | — | — | 1–10 | $294 – $294 |
| 23 | Brandon HMA LLC Brandon, MS facility · other · outpatient | 2 | $158 | $158 | $5 | 3% | 1–10 | $153 – $164 |
| 24 | Carlsbad Medical Center LLC Carlsbad, NM facility · other · outpatient | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 25 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 1 | $240 | $240 | — | — | 1–10 | $240 – $240 |
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