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
Dcmprn Prq Rmv Lig Flv Addl
Low
$0
Average
$705
Median
$191
High
$7.3k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 6.4× 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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62 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $200 | $200 | $5 | 2% | — | $195 – $205 |
| 2 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $187 | $187 | — | — | — | $187 – $187 |
| 3 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 6 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | FAIRVIEW PARK HOSPITAL DUBLIN, GA case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 10 | Henry Ford Health System West Bloomfield, MI professional · fee schedule · outpatient | 4 | $197 | $197 | — | — | — | $197 – $197 |
| 11 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 12 | Henry Ford Health System Plymouth, MI professional · fee schedule · outpatient | 4 | $197 | $197 | — | — | — | $197 – $197 |
| 13 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 14 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · fee schedule · outpatient | 4 | $197 | $197 | — | — | — | $197 – $197 |
| 15 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 16 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI professional · fee schedule · outpatient | 4 | $197 | $197 | — | — | — | $197 – $197 |
| 17 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 18 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $201 | $201 | — | — | — | $201 – $201 |
| 19 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 20 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 21 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 22 | MEMORIAL SATILLA HEALTH Waycross, GA case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 24 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 25 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · other · outpatient | 2 | $7.2k | $7.2k | $109 | 2% | — | $7.1k – $7.3k |
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