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
$113
Median
$74
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
776 hospitals; the 90th percentile is 4.5× 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
1,019 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 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $159 | $169 | $77 | 45% | 252–288 | $57 – $261 |
| 2 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $39 | $39 | — | — | 45 | $39 – $39 |
| 3 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | 22 | $121 – $121 |
| 4 | Public Hospital District No 4 King County WA Snoqualmie, WA other · both | 2 | $264 | $264 | $3 | 1% | 14 | $261 – $267 |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $102 | $102 | $37 | 36% | 11 | $65 – $139 |
| 6 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $247 | $283 | $226 | 80% | 11–110 | $16 – $1.1k |
| 7 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $220 | $238 | $144 | 61% | 7–70 | $80 – $599 |
| 8 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $68 | $61 | 90% | 5–50 | $17 – $188 |
| 9 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $72 | $35 | 49% | 5–50 | $28 – $118 |
| 10 | Adena Fayette Medical Center Washington Court House, OH facility · other · outpatient | 2 | $64 | $64 | — | — | 2–20 | $64 – $64 |
| 11 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $46 | $39 | 83% | 2–20 | $8 – $85 |
| 12 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $71 | $71 | $8 | 11% | 2–20 | $63 – $79 |
| 13 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $96 | $96 | $44 | 46% | 2–20 | $52 – $141 |
| 14 | Parkland Health Dallas, TX facility · other · both | 4 | $153 | $155 | $91 | 58% | 2–20 | $65 – $250 |
| 15 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 16 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 17 | Loring Hospital Sac City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 18 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $151 | $151 | — | — | 1–10 | $151 – $151 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 21 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 22 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 23 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 24 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $213 | $213 | $0 | 0% | — | $213 – $213 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $160 | $165 | $20 | 12% | — | $147 – $195 |
← Payers reporting CPT 87801 · Snapshot 20261111T120946Z-9134e7f7