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
$184
Median
$120
High
$3.6k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
454 hospitals; the 90th percentile is 2.1× 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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548 hospital rates
iThe hospitals that file a Ambetter 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $177 | $177 | — | — | 47 | $177 – $177 |
| 2 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $442 | $411 | $254 | 62% | 9–90 | $72 – $837 |
| 3 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $501 | $501 | — | — | 2–20 | $501 – $501 |
| 4 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $266 | $266 | — | — | 1–10 | $266 – $266 |
| 5 | Columbus Regional Hospital Columbus, IN fee schedule · both | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 6 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 7 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 8 | The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | 1–10 | $99 – $99 |
| 9 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $210 | $441 | $296 | 67% | 1–10 | $182 – $858 |
| 10 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ fee schedule · outpatient | 1 | $147 | $147 | — | — | 1–10 | $147 – $147 |
| 11 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 12 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 13 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 14 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 15 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 16 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 17 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 18 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 19 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 20 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 21 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 22 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 23 | Alexian Brothers Medical Center Village, IL other · inpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 24 | Alexian Brothers Medical Center Village, IL other · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 25 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
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