CPT 65771
Low
$0
Average
$2.1k
Median
$1.9k
High
$10.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
137 hospitals; the 90th percentile is 21.2× 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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149 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 2 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 3 | Aurora Lakeland Medical Center Elkhorn, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 4 | Aurora Medical Center Bay Area Marinette, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 5 | Aurora Medical Center Burlington Burlington, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 6 | Aurora Medical Center Fond du Lac Fond Du Lac, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 7 | Aurora Medical Center Grafton Grafton, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 8 | Aurora Medical Center Kenosha Kenosha, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 9 | Aurora Medical Center Manitowoc Two Rivers, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 10 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 11 | Aurora Medical Center Oshkosh Oshkosh, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 12 | Aurora Medical Center Sheboygan County Sheboygan, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 13 | Aurora Medical Center Summit Summit, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 14 | Aurora Medical Center Washington County Hartford, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 15 | Aurora Psychiatric Hospital Wauwatosa, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 16 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 17 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 18 | Aurora St Lukes South Shore of Aurora Health Care Metro Inc Cudahy, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 19 | Aurora West Allis Medical Center West Allis, WI case rate · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 20 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 21 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $977 | $977 | — | — | — | $977 – $977 |
| 22 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 23 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 24 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $271 | $271 | — | — | — | $271 – $271 |
| 25 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $489 | $489 | — | — | — | $489 – $489 |
← Payers reporting CPT 65771 · Snapshot 20261113T090226Z-3ce6c0b8