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
HB Intmd Rpr S/a/T/Ext 2.5 Cm/<
Low
$1
Average
$587
Median
$385
High
$11.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
795 hospitals; the 90th percentile is 11.0× 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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1,155 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 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $513 | $513 | $206 | 40% | 4–40 | $307 – $718 |
| 2 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $441 | $458 | $190 | 42% | 3–30 | $251 – $669 |
| 3 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $279 | $279 | — | — | 2–20 | $279 – $279 |
| 4 | HSA PGH LLC Hialeah, FL facility · other · outpatient | 1 | $334 | $334 | — | — | 2–20 | $334 – $334 |
| 5 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 1 | $348 | $348 | — | — | 2–20 | $348 – $348 |
| 6 | ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Chatham, IL fee schedule · outpatient | 1 | $348 | $348 | — | — | 2–20 | $348 – $348 |
| 7 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $389 | $389 | $90 | 23% | 2–20 | $299 – $479 |
| 8 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 9 | Carlsbad Medical Center LLC Carlsbad, NM facility · other · outpatient | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 10 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 2 | $342 | $342 | $183 | 54% | 1–10 | $159 – $525 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $120 | $114 | $30 | 27% | 1–10 | $83 – $165 |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $397 | $397 | — | — | 1–10 | $397 – $397 |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $397 | $397 | — | — | 1–10 | $397 – $397 |
| 14 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $399 | $399 | — | — | 1–10 | $399 – $399 |
| 15 | Parkland Health Dallas, TX facility · fee schedule · both | 4 | $376 | $420 | $263 | 62% | 1–10 | $166 – $765 |
| 16 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $245 | $275 | $176 | 64% | 1–10 | $104 – $504 |
| 17 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 7 | $1.9k | $1.9k | $1.2k | 62% | 1–10 | $619 – $4.2k |
| 18 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $270 | $325 | $144 | 44% | 1–10 | $180 – $482 |
| 19 | Pocahontas Community Hospital Pocahontas, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $111 | $111 | $110 | 100% | 1–10 | $1 – $221 |
| 20 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 2 | $257 | $257 | $45 | 18% | 1–10 | $212 – $302 |
| 21 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $171 | $171 | $78 | 45% | 1–10 | $94 – $249 |
| 22 | St Luke's McCall, LTD McCall, ID percent of total billed charges · bothfrom % of charges | 2 | $654 | $654 | $6 | 1% | 1–10 | $648 – $661 |
| 23 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $507 | $457 | $100 | 22% | 1–10 | $258 – $507 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
← Payers reporting CPT 12031 · Snapshot 20261111T120946Z-9134e7f7