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 Inj Paravert F Jnt L/S 1 Lev
Low
$1
Average
$671
Median
$518
High
$4.1k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
141 hospitals; the 90th percentile is 31.4× 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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192 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 | $521 | $521 | $271 | 52% | 42 | $250 – $793 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · both | 14 | $1.2k | $1.3k | $111 | 8% | 32 | $1.2k – $1.5k |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · outpatient | 2 | $1.4k | $1.4k | $124 | 9% | 32 | $1.2k – $1.5k |
| 4 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $793 | $793 | — | — | 26 | $793 – $793 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 16 | $1.2k | $1.3k | $104 | 8% | 25–34 | $1.2k – $1.5k |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · outpatient | 2 | $1.4k | $1.4k | $124 | 9% | 25–34 | $1.2k – $1.5k |
| 7 | Tufts Medical Center BOSTON, MA other · both | 1 | $4.1k | $4.1k | $818 | 20% | 2–20 | $3.3k – $4.9k |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both | 2 | $1.4k | $1.4k | $124 | 9% | 1–10 | $1.2k – $1.5k |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · both | 2 | $1.4k | $1.4k | $124 | 9% | 1–10 | $1.2k – $1.5k |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · outpatient | 2 | $1.4k | $1.4k | $124 | 9% | 1–10 | $1.2k – $1.5k |
| 11 | Lowell General Hospital Lowell, MA other · both | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 12 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $398 | $596 | $389 | 65% | 1–10 | $250 – $1.1k |
| 13 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $398 | $596 | $389 | 65% | 1–10 | $250 – $1.1k |
| 14 | Spaulding Rehabilitation Hospital Continuing Medical Care Cambridge Cambridge, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 15 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $4.1k | $4.1k | $818 | 20% | 1–10 | $3.3k – $4.9k |
| 16 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 17 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 19 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $869 | $869 | — | — | — | $869 – $869 |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $703 | $703 | — | — | — | $703 – $703 |
| 22 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $843 | $843 | — | — | — | $843 – $843 |
| 23 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $843 | $843 | — | — | — | $843 – $843 |
| 24 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $843 | $843 | — | — | — | $843 – $843 |
| 25 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $1.0k | $999 | $155 | 16% | — | $769 – $1.2k |
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