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
Dise Dyn Eval Sleep Disordered Breathing Flx Dx
Low
$1
Average
$363
Median
$201
High
$2.1k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
47 hospitals; the 90th percentile is 19.7× 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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54 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | North Memorial Health Care Robbinsdale, MN facility · other · outpatient | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | — | — | — | $180 – $180 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 8 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $97 | $97 | — | — | — | $97 – $97 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 10 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $807 | $807 | — | — | — | $807 – $807 |
| 13 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 16 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 1 | $648 | $648 | — | — | — | $648 – $648 |
| 17 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 18 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 19 | Maple Grove Hospital Corporation Grove, MN facility · other · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 20 | McLeod Health Dillon, SC fee schedule · both | 1 | $543 | $543 | — | — | — | $543 – $543 |
| 21 | McLeod Health Cheraw, SC fee schedule · both | 1 | $543 | $543 | — | — | — | $543 – $543 |
| 22 | McLeod Health Manning, SC fee schedule · both | 1 | $543 | $543 | — | — | — | $543 – $543 |
| 23 | McLeod Health Florence, SC fee schedule · both | 1 | $543 | $543 | — | — | — | $543 – $543 |
| 24 | McLeod Health Beach, SC fee schedule · both | 1 | $543 | $543 | — | — | — | $543 – $543 |
| 25 | McLeod Health Loris, SC fee schedule · both | 1 | $543 | $543 | — | — | — | $543 – $543 |
← Payers reporting CPT 42975 · Snapshot 20261111T120946Z-9134e7f7