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
$1
Average
$233
Median
$133
High
$2.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
809 hospitals; the 90th percentile is 4.9× 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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1,168 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $196 | $196 | — | — | 1,411 | $196 – $196 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $131 | $131 | $47 | 36% | 352 | $83 – $178 |
| 3 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $316 | $422 | $184 | 44% | 94–175 | $314 – $740 |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $203 | $203 | — | — | 92 | $203 – $203 |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS fee schedule · outpatient | 2 | $131 | $131 | $47 | 36% | 89–98 | $83 – $178 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $419 | $419 | — | — | 89 | $419 – $419 |
| 7 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $73 | $82 | $34 | 41% | 67 | $46 – $124 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 5 | $74 | $81 | $45 | 56% | 53–62 | $30 – $172 |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS fee schedule · outpatient | 2 | $131 | $131 | $47 | 36% | 52–61 | $83 – $178 |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 3 | $109 | $105 | $35 | 34% | 49–58 | $60 – $145 |
| 11 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $133 | $133 | — | — | 45 | $133 – $133 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 6 | $85 | $85 | $39 | 46% | 42 | $44 – $131 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 41 | $30 – $30 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $102 | $99 | $31 | 31% | 40–58 | $60 – $135 |
| 15 | St Mary Mercy Livonia Livonia, MI facility · other · both | 3 | $102 | $98 | $32 | 33% | 35–44 | $57 – $135 |
| 16 | St Joseph Mercy Oakland Pontiac, MI facility · other · both | 3 | $102 | $98 | $32 | 33% | 29–38 | $57 – $135 |
| 17 | Mercy Medical Center-Clinton Inc Clinton, IA facility · other · both | 1 | $97 | $97 | — | — | 27 | $97 – $97 |
| 18 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $172 | $172 | $40 | 23% | 27–36 | $132 – $211 |
| 19 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $102 | $102 | — | — | 19 | $102 – $102 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 18 | $22 – $22 |
| 21 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $350 | $350 | $38 | 11% | 18 | $312 – $389 |
| 22 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $302 | $302 | — | — | 18 | $302 – $302 |
| 23 | Spencer Municipal Hospital Spencer, IA case rate · outpatient | 1 | $102 | $102 | — | — | 18 | $102 – $102 |
| 24 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $323 | $323 | — | — | 16 | $323 – $323 |
| 25 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 2 | $189 | $189 | — | — | 15 | $189 – $189 |
← Payers reporting CPT 76805 · Snapshot 20261111T120946Z-9134e7f7