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
$56
Median
$31
High
$643
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
278 hospitals; the 90th percentile is 4.2× 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.
Filter by billing methodology
Filter by billing class
330 hospital rates
iThe hospitals that file a Caresource 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 | Piedmont Athens Regional Athens, GA fee schedule · both | 1 | $25 | $25 | — | — | 1,155 | $25 – $25 |
| 2 | Piedmont Atlanta Atlanta, GA fee schedule · both | 1 | $25 | $25 | — | — | 252 | $25 – $25 |
| 3 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $160 | $160 | $5 | 3% | 236 | $155 – $165 |
| 4 | Columbus Regional Hospital Columbus, IN fee schedule · both | 2 | $33 | $33 | $8 | 26% | 160 | $24 – $41 |
| 5 | Piedmont Augusta Augusta, GA fee schedule · both | 1 | $25 | $25 | — | — | 85 | $25 – $25 |
| 6 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 47 | $25 – $25 |
| 7 | Children's Healthcare of Atlanta Atlanta, GA fee schedule · outpatient | 2 | $31 | $31 | — | — | 43 | $31 – $31 |
| 8 | Piedmont Columbus Regional - Midtown Columbus, GA fee schedule · both | 1 | $25 | $25 | — | — | 41 | $25 – $25 |
| 9 | Piedmont Newnan Newnan, GA fee schedule · both | 1 | $25 | $25 | — | — | 26 | $25 – $25 |
| 10 | Children's Healthcare of Atlanta Atlanta, GA fee schedule · outpatient | 2 | $31 | $31 | — | — | 15–33 | $31 – $31 |
| 11 | Piedmont Rockdale Conyers, GA fee schedule · both | 1 | $25 | $25 | — | — | 12 | $25 – $25 |
| 12 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $164 | $164 | — | — | 11 | $164 – $164 |
| 13 | Piedmont Cartersville Cartersville, GA fee schedule · both | 1 | $25 | $25 | — | — | 11 | $25 – $25 |
| 14 | Greenfield Area Medical Center Greenfield, OH facility · other · outpatient | 1 | $28 | $28 | — | — | 2–20 | $28 – $28 |
| 15 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $33 | $33 | — | — | 2–20 | $33 – $33 |
| 16 | Pike Health Services Inc Waverly, OH facility · other · outpatient | 1 | $27 | $27 | — | — | 2–20 | $27 – $27 |
| 17 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 3 | $10 | $11 | $3 | 32% | 2–20 | $7 – $15 |
| 18 | University of Arkansas for Medical Sciences Little Rock, AR facility · other · outpatient | 1 | $52 | $52 | — | — | 2–20 | $52 – $52 |
| 19 | Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 20 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 21 | Harrison Community Hospital, Inc. Cadiz, OH facility · other · outpatient | 1 | $34 | $34 | — | — | 1–10 | $34 – $34 |
| 22 | Highland District Hospital Hillsboro, OH fee schedule · outpatient | 1 | $11 | $11 | — | — | 1–10 | $11 – $11 |
| 23 | Piedmont Columbus Regional - Northside Columbus, GA fee schedule · both | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 24 | Piedmont Eastside Snellville, GA fee schedule · both | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 25 | Piedmont Fayette Fayetteville, GA fee schedule · both | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
← Payers reporting CPT 87389 · Snapshot 20261111T120946Z-9134e7f7