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
CL TX DST RDFX/EPI MNP BL
Low
$77
Average
$1.4k
Median
$1.5k
High
$11.8k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
566 hospitals; the 90th percentile is 4.1× 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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769 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 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $502 | $502 | — | — | 19 | $502 – $502 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $476 | $476 | — | — | 19 | $476 – $476 |
| 3 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $1.1k | $1.1k | — | — | 3–30 | $1.1k – $1.1k |
| 4 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.1k | $943 | 45% | 3–30 | $469 – $2.7k |
| 5 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 3 | $1.8k | $4.0k | $2.6k | 65% | 3–30 | $1.4k – $7.2k |
| 6 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $791 | $791 | — | — | 2–20 | $791 – $791 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 8 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | 2–20 | $134 – $134 |
| 9 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | 2–20 | $143 – $143 |
| 10 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | 2–20 | $130 – $130 |
| 11 | Central Washington Health Services Association Wenatchee, WA other · both | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 12 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 13 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 14 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 15 | HOULTON REGIONAL HOSPITAL HOULTON, ME fee schedule · outpatient | 1 | $681 | $681 | — | — | 1–10 | $681 – $681 |
| 16 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $288 | $288 | — | — | 1–10 | $288 – $288 |
| 17 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $612 | $612 | — | — | 1–10 | $612 – $612 |
| 18 | Pender Memorial Hospital, Incorporated Burgaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $922 | $922 | — | — | 1–10 | $922 – $922 |
| 19 | Scotland Memorial Hospital Inc. Laurinburg, NC facility · fee schedule · both | 1 | $77 | $77 | — | — | 1–10 | $77 – $77 |
| 20 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 21 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $1.7k | $1.7k | $40 | 2% | — | $1.7k – $1.8k |
| 25 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $623 | $623 | — | — | — | $623 – $623 |
← Payers reporting CPT 25605 · Snapshot 20261111T120946Z-9134e7f7