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
facility
The hospitals that file a Medicaid 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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153 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 3 | $483.29 | $483.29 – $483.29 |
| 2 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 6 | $371.56 | $118.12 – $625.00 |
| 3 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $86.51 | $86.51 – $86.51 |
| 4 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $73.41 | $60.31 – $86.51 |
| 5 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $49.26 | $12.00 – $86.51 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $175.89 | $175.89 – $175.89 |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $142.29 | $142.29 – $142.29 |
| 8 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $126.48 | $120.46 – $132.50 |
| 9 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $320.19 | $320.19 – $320.19 |
| 10 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $384.01 | $108.01 – $660.00 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $100.55 | $100.55 – $100.55 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $88.85 | $88.85 – $88.85 |
| 13 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $117.88 | $117.88 – $117.88 |
| 14 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $6.24 | $6.24 – $6.24 |
| 15 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $0.94 | $0.94 – $0.94 |
| 16 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $76.85 | $76.85 – $76.85 |
| 17 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $100.55 | $100.55 – $100.55 |
| 18 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $121.99 | $121.99 – $121.99 |
| 19 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $120.00 | $120.00 – $120.00 |
| 20 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $109.10 | $109.10 – $109.10 |
| 21 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $109.10 | $109.10 – $109.10 |
| 22 | Emerson Hospital Concord, MA facility · fee schedule · outpatient | 1 | $341.85 | $341.85 – $341.85 |
| 23 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · outpatient | 2 | $419.27 | $381.15 – $457.38 |
| 24 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN fee schedule · outpatient | 2 | $419.27 | $381.15 – $457.38 |
| 25 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $647.56 | $647.56 – $647.56 |
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