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
Removal Peritoneal Foreign Body From Cavity
Low
$55
Average
$1.5k
Median
$566
High
$8.5k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 30.8× 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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55 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $690 | $690 | — | — | — | $690 – $690 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $661 | $661 | — | — | — | $661 – $661 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $557 | $557 | — | — | — | $557 – $557 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $566 | $566 | $106 | 19% | — | $460 – $672 |
| 13 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 14 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $661 | $661 | — | — | — | $661 – $661 |
| 17 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · inpatient | 1 | $229 | $229 | — | — | — | $229 – $229 |
| 18 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · outpatient | 1 | $229 | $229 | — | — | — | $229 – $229 |
| 19 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $522 | $522 | $442 | 85% | — | $80 – $964 |
| 20 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 21 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 22 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 23 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 24 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
| 25 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $646 | $646 | — | — | — | $646 – $646 |
← Payers reporting CPT 49402 · Snapshot 20261112T181611Z-3fa9fb76