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
Lig/Trnsxj Flp Tube Abdl/Vag Appr Uni/Bi
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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44 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $41.00 | $41.00 – $41.00 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $36.00 | $36.00 – $36.00 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $480.76 | $204.00 – $757.51 |
| 4 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $3,084 | $3,084 – $3,084 |
| 5 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $3,084 | $3,084 – $3,084 |
| 6 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $3,084 | $3,084 – $3,084 |
| 7 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $3,084 | $3,084 – $3,084 |
| 8 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $3,084 | $3,084 – $3,084 |
| 9 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $3,084 | $3,084 – $3,084 |
| 10 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $3,084 | $3,084 – $3,084 |
| 11 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $3,084 | $3,084 – $3,084 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $298.08 | $298.08 – $298.08 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1,564 | $1,564 – $1,564 |
| 14 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $285.96 | $285.96 – $285.96 |
| 15 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $249.19 | $249.19 – $249.19 |
| 16 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $1,706 | $1,706 – $1,706 |
| 17 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $351.71 | $351.71 – $351.71 |
| 18 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $480.76 | $204.00 – $757.51 |
| 19 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $2,137 | $2,137 – $2,137 |
| 20 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $1,564 | $1,564 – $1,564 |
| 21 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $285.96 | $285.96 – $285.96 |
| 22 | Kirksville Missouri Hospital Co LLC PO Box C8502 Kirksville, MO facility · fee schedule · outpatient | 1 | $2,710 | $2,710 – $2,710 |
| 23 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $41.00 | $41.00 – $41.00 |
| 24 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $1,119 | $1,119 – $1,119 |
| 25 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $326.43 | $326.43 – $326.43 |
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