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
HB Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn
Low
$1
Average
$645
Median
$447
High
$2.5k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
131 hospitals; the 90th percentile is 38.9× 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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176 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 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $355 | $355 | $281 | 79% | 46 | $74 – $636 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $1.9k | $2.0k | $154 | 8% | 25 | $1.9k – $2.3k |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · outpatient | 2 | $2.1k | $2.1k | $191 | 9% | 25 | $1.9k – $2.3k |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · both | 2 | $2.1k | $2.1k | $191 | 9% | 22 | $1.9k – $2.3k |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · outpatient | 2 | $2.1k | $2.1k | $191 | 9% | 22 | $1.9k – $2.3k |
| 6 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $590 | $590 | — | — | 22 | $590 – $590 |
| 7 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $590 | $590 | — | — | 22 | $590 – $590 |
| 8 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $590 | $492 | $172 | 35% | 19 | $250 – $636 |
| 9 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $590 | $492 | $172 | 35% | 19 | $250 – $636 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · both | 14 | $1.9k | $2.0k | $165 | 8% | 17 | $1.9k – $2.3k |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · outpatient | 2 | $2.1k | $2.1k | $191 | 9% | 17 | $1.9k – $2.3k |
| 12 | Lowell General Hospital Lowell, MA other · both | 1 | $2.0k | $2.0k | $479 | 24% | 11 | $1.5k – $2.5k |
| 13 | Tufts Medical Center BOSTON, MA other · both | 1 | $2.1k | $2.1k | $336 | 16% | 2–20 | $1.8k – $2.5k |
| 14 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | $336 | 16% | 2–20 | $1.8k – $2.5k |
| 15 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $698 | $698 | — | — | 1–10 | $698 – $698 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 17 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both | 2 | $2.1k | $2.1k | $191 | 9% | 1–10 | $1.9k – $2.3k |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · outpatient | 2 | $2.1k | $2.1k | $191 | 9% | 1–10 | $1.9k – $2.3k |
| 19 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $617 | $617 | — | — | 1–10 | $617 – $617 |
| 20 | Mercy Hospital Aurora Aurora, MO facility · fee schedule · outpatient | 1 | $590 | $590 | — | — | 1–10 | $590 – $590 |
| 21 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · fee schedule · outpatient | 1 | $590 | $590 | — | — | 1–10 | $590 – $590 |
| 22 | Mercy Perry Perryville, MO facility · fee schedule · outpatient | 1 | $590 | $590 | — | — | 1–10 | $590 – $590 |
| 23 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 24 | Spaulding Rehabilitation Hospital Cape Cod Sandwich, MA percent of total billed charges · outpatientfrom % of charges | 1 | $940 | $940 | — | — | 1–10 | $940 – $940 |
| 25 | Spaulding Rehabilitation Hospital Continuing Medical Care Cambridge Cambridge, MA percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
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