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 Drug Ptreat Ser Ab ID Ea
Low
$3
Average
$414
Median
$426
High
$935
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
353 hospitals; the 90th percentile is 3.6× 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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398 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $483 | $483 | $11 | 2% | — | $472 – $494 |
| 2 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $394 | $394 | — | — | — | $394 – $394 |
| 3 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 4 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 5 | Albert Einstein Medical Center Philadelphia, PA fee schedule · outpatient | 1 | $448 | $448 | — | — | — | $448 – $448 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $407 | $407 | — | — | — | $407 – $407 |
| 7 | Ascension NE Wisconsin, Inc. Appleton, WI other · inpatient | 1 | $403 | $403 | — | — | — | $403 – $403 |
| 8 | Ascension NE Wisconsin, Inc. Appleton, WI other · outpatient | 1 | $403 | $403 | — | — | — | $403 – $403 |
| 9 | Ascension NE Wisconsin, Inc. Oshkosh, WI other · inpatient | 1 | $403 | $403 | — | — | — | $403 – $403 |
| 10 | Ascension NE Wisconsin, Inc. Oshkosh, WI other · outpatient | 1 | $403 | $403 | — | — | — | $403 – $403 |
| 11 | Ascension Providence Waco, TX other · inpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 12 | Ascension Providence Waco, TX other · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 13 | Ascension Seton Austin, TX other · inpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 14 | Ascension Seton Austin, TX other · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 15 | Ascension Seton Austin, TX other · inpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 16 | Ascension Seton Austin, TX other · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 17 | Ascension Seton Bastrop, TX other · inpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 18 | Ascension Seton Bastrop, TX other · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 19 | Ascension Seton Austin, TX other · inpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 20 | Ascension Seton Austin, TX other · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
← Payers reporting CPT 86975 · Snapshot 20261112T181611Z-3fa9fb76