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
Rcnstj Mndblr Rami&/Bdy Sgtl Splt W/Int Rgd Fi
Low
$1
Average
$5.7k
Median
$5.9k
High
$29.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
345 hospitals; the 90th percentile is 4.8× 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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390 hospital rates
iThe hospitals that file a WellCare 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 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 2 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 3 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 4 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 5 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $6.4k | $6.4k | $149 | 2% | — | $6.3k – $6.6k |
| 6 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $567 | $567 | $353 | 62% | — | $213 – $920 |
| 8 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 9 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 10 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 11 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 2 | $6.8k | $6.8k | $1.3k | 19% | — | $5.5k – $8.1k |
| 12 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 13 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 14 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 2 | $1.3k | $1.2k | $168 | 14% | — | $990 – $1.3k |
| 15 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 2 | $1.3k | $1.2k | $168 | 14% | — | $990 – $1.3k |
| 16 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 2 | $1.3k | $1.2k | $168 | 14% | — | $990 – $1.3k |
| 17 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 2 | $1.3k | $1.2k | $168 | 14% | — | $990 – $1.3k |
| 18 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 2 | $1.3k | $1.2k | $168 | 14% | — | $990 – $1.3k |
| 19 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 2 | $1.3k | $1.2k | $168 | 14% | — | $990 – $1.3k |
| 20 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 24 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 25 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
← Payers reporting CPT 21196 · Snapshot 20261112T181611Z-3fa9fb76