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
HC COM CON BAL BESO4 STIM (1 UM) DAY 6
Low
$1
Average
$57
Median
$50
High
$172
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 2.9× 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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69 hospital rates
iThe hospitals that file a Medicaid 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 CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $50 | $50 | $6 | 13% | — | $44 – $56 |
| 2 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $50 | $50 | $6 | 13% | — | $44 – $56 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $50 | $50 | $6 | 13% | — | $44 – $56 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $56 | $52 | $6 | 11% | — | $44 – $56 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 7 | Boston Medical Center Boston, MA fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 8 | Boston Medical Center Brighton Boston, MA fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 11 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 12 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 15 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 16 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 18 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $63 | $63 | — | — | — | $63 – $63 |
| 19 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 20 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $50 | $50 | $6 | 13% | — | $44 – $56 |
| 21 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 22 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $56 | $53 | $5 | 10% | — | $44 – $56 |
| 23 | Hackettstown Medical Center Hackettstown, NJ fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 24 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA fee schedule · both | 3 | $47 | $46 | $2 | 5% | — | $43 – $49 |
| 25 | Henry Ford Health Novi, MI other · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
← Payers reporting CPT 86353 · Snapshot 20261111T120946Z-9134e7f7