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
HB Ref T3, Total
Low
$1
Average
$38
Median
$16
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
867 hospitals; the 90th percentile is 5.4× 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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1,118 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 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $19 | $19 | $1 | 5% | 102 | $18 – $20 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $21 | $21 | $7 | 36% | 42–51 | $13 – $28 |
| 3 | Sparta Community Hospital Sparta, IL professional · fee schedule · both | 1 | $18 | $18 | — | — | 21 | $18 – $18 |
| 4 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $48 | $43 | 89% | 21 | $18 – $109 |
| 5 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $35 | $32 | $7 | 21% | 15 | $17 – $35 |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · outpatient | 1 | $145 | $145 | — | — | 13 | $145 – $145 |
| 7 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | 11 | $45 – $45 |
| 8 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $60 | $60 | $42 | 70% | 6–60 | $18 – $103 |
| 9 | Parkland Health Dallas, TX facility · other · both | 4 | $31 | $31 | $18 | 58% | 6–60 | $13 – $51 |
| 10 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $23 | $16 | 68% | 3–30 | $9 – $45 |
| 11 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $33 | $41 | $32 | 79% | 3–30 | $11 – $109 |
| 12 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $34 | $45 | $20 | 45% | 3–30 | $27 – $73 |
| 13 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | 2–20 | $43 – $43 |
| 14 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $14 | $11 | $4 | 32% | 2–20 | $7 – $14 |
| 15 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $23 | $23 | — | — | 2–20 | $23 – $23 |
| 16 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | $3 | 10% | 2–20 | $30 – $36 |
| 17 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $9 | $9 | — | — | 2–20 | $9 – $9 |
| 18 | Trinity Health Grand Haven Hospital Grand Haven, MI professional · fee schedule · both | 2 | $11 | $11 | $3 | 29% | 2–20 | $8 – $14 |
| 19 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 20 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 21 | Abbeville Area Medical Center Abbeville, SC facility · other · outpatient | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 22 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | 1–10 | $59 – $59 |
| 23 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 24 | Appalachian Regional Healthcare, Inc. Middlesboro, KY fee schedule · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 25 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
← Payers reporting CPT 84480 · Snapshot 20261111T120946Z-9134e7f7