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 N-Hf/Genit 2.5cm/<
Low
$1
Average
$596
Median
$386
High
$11.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
796 hospitals; the 90th percentile is 10.3× 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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1,160 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 | 1 | $512 | $512 | — | — | 2–20 | $512 – $512 |
| 2 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | 1–10 | $81 – $81 |
| 3 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 4 | Brandon HMA LLC Brandon, MS facility · other · outpatient | 2 | $318 | $318 | $11 | 3% | 1–10 | $308 – $329 |
| 5 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $246 | $246 | — | — | 1–10 | $246 – $246 |
| 6 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 2 | $238 | $238 | — | — | 1–10 | $238 – $238 |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $379 | $379 | — | — | 1–10 | $379 – $379 |
| 8 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $270 | $319 | $137 | 43% | 1–10 | $180 – $482 |
| 9 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $283 | $283 | — | — | 1–10 | $283 – $283 |
| 10 | Pocahontas Community Hospital Pocahontas, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $110 | $110 | $109 | 100% | 1–10 | $1 – $219 |
| 11 | ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Chatham, IL fee schedule · outpatient | 1 | $348 | $348 | — | — | 1–10 | $348 – $348 |
| 12 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $492 | $492 | $178 | 36% | 1–10 | $314 – $670 |
| 13 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 2 | $739 | $739 | $296 | 40% | 1–10 | $443 – $1.0k |
| 14 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · outpatient | 2 | $5.3k | $5.3k | $2.1k | 40% | 1–10 | $3.2k – $7.4k |
| 15 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $497 | $497 | — | — | 1–10 | $497 – $497 |
| 16 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $507 | $454 | $75 | 17% | 1–10 | $348 – $507 |
| 17 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $491 | $491 | — | — | 1–10 | $491 – $491 |
| 18 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $981 | $795 | $372 | 47% | 1–10 | $51 – $981 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 21 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 22 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $429 | $429 | — | — | — | $429 – $429 |
| 23 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $155 | $155 | — | — | — | $155 – $155 |
| 24 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 25 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
← Payers reporting CPT 12041 · Snapshot 20261111T120946Z-9134e7f7