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
Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor
Low
$30
Average
$13.9k
Median
$13.7k
High
$36.4k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 53.2× 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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34 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 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $673 | $673 | — | — | — | $673 – $673 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 3 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $26.1k | $26.1k | — | — | — | $26.1k – $26.1k |
| 4 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $565 | $565 | — | — | — | $565 – $565 |
| 5 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $26.3k | $26.3k | — | — | — | $26.3k – $26.3k |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | $764 | 72% | — | $291 – $1.8k |
| 7 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 8 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $20.9k | $20.9k | — | — | — | $20.9k – $20.9k |
| 9 | Maple Grove Hospital Corporation Grove, MN facility · other · outpatient | 1 | $27.4k | $27.4k | — | — | — | $27.4k – $27.4k |
| 10 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $19 | $8.7k | $12.2k | 141% | — | $18 – $26.0k |
| 11 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $19 | $8.7k | $12.2k | 141% | — | $18 – $26.0k |
| 12 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $30 | $30 | $29 | 95% | — | $2 – $59 |
| 13 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 3 | $30 | $8.7k | $12.2k | 141% | — | $19 – $26.0k |
| 14 | Mercy Hospital Springfield Ozark, MO facility · case rate · outpatient | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 15 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 2 | $13.0k | $13.0k | $13.0k | 100% | — | $6 – $26.0k |
| 16 | Mercy Hospital Springfield Springfield, MO facility · case rate · outpatient | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 17 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 2 | $13.0k | $13.0k | $13.0k | 100% | — | $6 – $26.0k |
| 18 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · fee schedule · outpatient | 1 | $26.0k | $26.0k | — | — | — | $26.0k – $26.0k |
| 19 | Mercy St. Francis Hospital View, MO facility · fee schedule · outpatient | 1 | $36.4k | $36.4k | — | — | — | $36.4k – $36.4k |
| 20 | NYU Langone New York, NY case rate · both | 15 | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 21 | NYU Langone Mineola, NY case rate · both | 15 | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 22 | NYU Langone Brooklyn, NY case rate · both | 15 | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 23 | NYU Langone New York, NY case rate · both | 15 | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 24 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · both | 15 | $16.8k | $16.8k | — | — | — | $16.8k – $16.8k |
| 25 | Navarro Hospital LP Corsicana, TX facility · fee schedule · outpatient | 1 | $27.6k | $27.6k | — | — | — | $27.6k – $27.6k |
← Payers reporting CPT 64582 · Snapshot 20261111T120946Z-9134e7f7