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
PRO FEE RT TX PLAN; SIMPLE
Low
$77
Average
$309
Median
$185
High
$1.1k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
75 hospitals; the 90th percentile is 7.2× 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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94 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $515 | $515 | — | — | — | $515 – $515 |
| 3 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 2 | $104 | $104 | $10 | 10% | — | $94 – $114 |
| 4 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 5 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 6 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 2 | $104 | $104 | $10 | 10% | — | $94 – $114 |
| 7 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $204 | $200 | $5 | 3% | — | $193 – $204 |
| 8 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $515 | $515 | — | — | — | $515 – $515 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 10 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $110 | $110 | $6 | 5% | — | $104 – $116 |
| 11 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $110 | $110 | $6 | 5% | — | $104 – $116 |
| 12 | Davis Medical Center Elkins, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 13 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 14 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 15 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 16 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 17 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 18 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 19 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $781 | $781 | $17 | 2% | — | $763 – $798 |
| 20 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $187 | $187 | — | — | — | $187 – $187 |
| 21 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $187 | $187 | — | — | — | $187 – $187 |
| 22 | HCA FLORIDA CAPITAL HOSPITAL QUINCY, FL percent of total billed charges · outpatientfrom % of charges | 2 | $315 | $315 | $17 | 6% | — | $291 – $340 |
| 23 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT facility · percent of total billed charges · inpatientfrom % of charges | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 24 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT facility · percent of total billed charges · outpatientfrom % of charges | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 25 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $185 | $185 | — | — | — | $185 – $185 |
← Payers reporting CPT 77261 · Snapshot 20261112T181611Z-3fa9fb76