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
$1
Average
$30
Median
$15
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
867 hospitals; the 90th percentile is 3.9× 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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1,140 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 | $16 | $20 | $13 | 66% | 3,479 | $6 – $38 |
| 2 | Parkland Health Dallas, TX facility · other · both | 4 | $29 | $29 | $17 | 58% | 2,357 | $12 – $47 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $19 | $19 | $7 | 36% | 1,644 | $12 – $26 |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $28 | $28 | — | — | 313 | $28 – $28 |
| 5 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $23 | $23 | 97% | 279 | $3 – $77 |
| 6 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $22 | $32 | $14 | 43% | 233–287 | $21 – $54 |
| 7 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $17 | $17 | $1 | 5% | 186 | $17 – $18 |
| 8 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $32 | $31 | $5 | 15% | 86 | $16 – $32 |
| 9 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $22 | $8 | 36% | 83 | $11 – $27 |
| 10 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 3 | $13 | $13 | $3 | 21% | 79 | $10 – $16 |
| 11 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $18 | $36 | $34 | 95% | 40 | $13 – $113 |
| 12 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $30 | $30 | $13 | 44% | 38–74 | $17 – $43 |
| 13 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $9 | $5 | 51% | 32 | $3 – $14 |
| 14 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS fee schedule · outpatient | 2 | $19 | $19 | $7 | 36% | 29–38 | $12 – $26 |
| 15 | Public Hospital District No 4 King County WA Snoqualmie, WA other · both | 2 | $50 | $50 | $1 | 1% | 28 | $49 – $50 |
| 16 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $26 | $26 | — | — | 21 | $26 – $26 |
| 17 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $15 | $13 | 82% | 20 | $5 – $38 |
| 18 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $24 | $24 | $6 | 26% | 20 | $18 – $30 |
| 19 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 3 | $13 | $13 | $3 | 20% | 17 | $10 – $16 |
| 20 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 2 | $13 | $11 | $3 | 26% | 9–90 | $7 – $13 |
| 21 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $26 | $25 | 98% | 7–70 | $5 – $92 |
| 22 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $11 | $11 | — | — | 6–60 | $11 – $11 |
| 23 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $11 | $11 | — | — | 6–60 | $11 – $11 |
| 24 | Trinity Health Grand Haven Hospital Grand Haven, MI professional · fee schedule · both | 2 | $10 | $10 | $3 | 30% | 6–60 | $7 – $13 |
| 25 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $13 | $12 | $2 | 13% | 5–50 | $10 – $13 |
← Payers reporting CPT 86780 · Snapshot 20261111T120946Z-9134e7f7