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
$0
Average
$41
Median
$14
High
$3.7k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
476 hospitals; the 90th percentile is 7.7× 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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566 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 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $10 | $10 | — | — | 287 | $10 – $10 |
| 2 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $8 | $8 | — | — | 231 | $8 – $8 |
| 3 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | 136 | $29 – $29 |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient | 1 | $19 | $19 | — | — | 57 | $19 – $19 |
| 5 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | 42 | $77 – $77 |
| 6 | ST JOSEPH REGIONAL HEALTH CENTER Bryan, TX fee schedule · outpatient | 1 | $11 | $11 | — | — | 21 | $11 – $11 |
| 7 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | 16 | $287 – $287 |
| 8 | ST JOSEPH REGIONAL HEALTH CENTER College Station, TX fee schedule · outpatient | 1 | $11 | $11 | — | — | 15 | $11 – $11 |
| 9 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $26 | $13 | 49% | 3–30 | $8 – $36 |
| 10 | Hutchinson Regional Medical Center, Inc. Hutchinson, KS facility · fee schedule · both | 1 | $15 | $15 | — | — | 2–20 | $15 – $15 |
| 11 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | $50 | 85% | 2–20 | $9 – $109 |
| 12 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $47 | $52 | $14 | 27% | 2–20 | $41 – $76 |
| 13 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | 1–10 | $287 – $287 |
| 14 | Columbus Regional Hospital Columbus, IN fee schedule · both | 1 | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | 1–10 | $8 – $8 |
| 17 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 18 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 19 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · outpatient | 1 | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 20 | THE COMMUNITY HOSPITAL OF BRAZOSPORT Lake Jackson, TX fee schedule · outpatient | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 21 | Virtua_Memorial_Hospital_Inc | Holly, NJ fee schedule · outpatient | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 22 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ fee schedule · outpatient | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 23 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 24 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 25 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
← Payers reporting CPT 84703 · Snapshot 20261111T120946Z-9134e7f7