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
facility
Low
$32
Average
$230
Median
$180
High
$3.6k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
490 hospitals; the 90th percentile is 3.6× 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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611 hospital rates
iThe hospitals that file a Ambetter 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $238 | $238 | — | — | 185 | $238 – $238 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient | 1 | $227 | $227 | — | — | 27 | $227 – $227 |
| 3 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $185 | $185 | — | — | 23 | $185 – $185 |
| 4 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $185 | $185 | — | — | 23 | $185 – $185 |
| 5 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $248 | $248 | — | — | 20 | $248 – $248 |
| 6 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · outpatient | 1 | $244 | $244 | — | — | 16 | $244 – $244 |
| 7 | The University of Kansas Health System Great Bend Campus Bend, KS other · both | 1 | $142 | $142 | — | — | 12 | $142 – $142 |
| 8 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $255 | $196 | $116 | 59% | 3–30 | $34 – $300 |
| 9 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $309 | $309 | $180 | 58% | 2–20 | $129 – $489 |
| 10 | Lake Regional Health System Osage Beach, MO fee schedule · both | 1 | $150 | $150 | — | — | 2–20 | $150 – $150 |
| 11 | Columbus Regional Hospital Columbus, IN other · both | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $189 | $189 | — | — | 1–10 | $189 – $189 |
| 13 | Mercy Hospital Ardmore Inc Ardmore, OK facility · other · outpatient | 1 | $145 | $145 | — | — | 1–10 | $145 – $145 |
| 14 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $142 | $142 | — | — | 1–10 | $142 – $142 |
| 15 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $142 | $142 | — | — | 1–10 | $142 – $142 |
| 16 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $133 | $133 | — | — | 1–10 | $133 – $133 |
| 17 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $157 | — | — | 1–10 | $157 – $157 |
| 18 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $185 | $185 | — | — | 1–10 | $185 – $185 |
| 19 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $182 | $182 | — | — | 1–10 | $182 – $182 |
| 20 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $182 | $182 | — | — | 1–10 | $182 – $182 |
| 21 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $196 | $196 | — | — | 1–10 | $196 – $196 |
| 22 | Virtua_Memorial_Hospital_Inc | Holly, NJ case rate · outpatient | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 23 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 24 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 25 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
← Payers reporting CPT 76805 · Snapshot 20261111T120946Z-9134e7f7