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
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam
Low
$1
Average
$3.0k
Median
$1.7k
High
$11.5k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 199.1× 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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60 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 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 2 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 7 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 8 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 9 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 10 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 11 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 12 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 13 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 16 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 17 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 18 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $374 | $374 | — | — | — | $374 – $374 |
| 19 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $310 | $310 | — | — | — | $310 – $310 |
| 21 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $3.2k | $3.2k | $154 | 5% | — | $3.1k – $3.4k |
| 22 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 23 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 24 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting CPT 62350 · Snapshot 20261112T124536Z-e251e855