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
$9
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
857 hospitals; the 90th percentile is 11.7× 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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1,110 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 | $56 | $56 | — | — | 2,111 | $56 – $56 |
| 2 | Parkland Health Dallas, TX facility · other · both | 4 | $16 | $17 | $10 | 58% | 1,857–1,866 | $7 – $27 |
| 3 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $43 | $43 | — | — | 384 | $43 – $43 |
| 4 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 3 | $13 | $11 | $3 | 23% | 246 | $8 – $13 |
| 5 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 2 | $8 | $8 | $2 | 18% | 207–243 | $7 – $10 |
| 6 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | $14 | 49% | 119 | $14 – $44 |
| 7 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $58 | $75 | $30 | 40% | 116–143 | $58 – $127 |
| 8 | Public Hospital District No 4 King County WA Snoqualmie, WA other · both | 2 | $28 | $28 | $0 | 1% | 80 | $28 – $29 |
| 9 | Navarro Hospital LP Corsicana, TX facility · other · outpatient | 4 | $28 | $23 | $10 | 43% | 39 | $8 – $32 |
| 10 | Victor Valley Global Medical Center Victorville, CA facility · other · outpatient | 1 | $8 | $8 | — | — | 34 | $8 – $8 |
| 11 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $40 | $40 | $31 | 76% | 32–41 | $9 – $71 |
| 12 | Hemet Global Medical Center Hemet, CA facility · other · outpatient | 1 | $8 | $8 | — | — | 30 | $8 – $8 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS fee schedule · outpatient | 2 | $11 | $11 | $4 | 36% | 29 | $7 – $15 |
| 14 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | 20 | $34 – $34 |
| 15 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $10 | $10 | $0 | 5% | 15–24 | $9 – $10 |
| 16 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient | 1 | $8 | $8 | — | — | 14 | $8 – $8 |
| 17 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $4 | $4 | — | — | 14 | $4 – $4 |
| 18 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 2 | $30 | $30 | — | — | 14 | $30 – $30 |
| 19 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $48 | $48 | $5 | 11% | 13 | $42 – $53 |
| 20 | Mercy Health Hackley Campus Muskogen, MI facility · other · outpatient | 3 | $3.4k | $3.2k | $1.1k | 34% | 3–30 | $1.8k – $4.5k |
| 21 | Adena Fayette Medical Center Washington Court House, OH facility · other · outpatient | 2 | $22 | $22 | — | — | 2–20 | $22 – $22 |
| 22 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $8 | $7 | $1 | 11% | 2–20 | $6 – $8 |
| 23 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | 2–20 | $39 – $39 |
| 24 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 2 | $11 | $11 | $3 | 28% | 2–20 | $8 – $14 |
| 25 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 2 | $11 | $11 | $3 | 28% | 2–20 | $8 – $14 |
← Payers reporting CPT 84703 · Snapshot 20261111T120946Z-9134e7f7