Low
$48
Average
$106
Median
$103
High
$159
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 1.7× 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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39 hospital rates
iThe hospitals that file a Medicaid 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 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 5 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 6 | Henry Ford Health Novi, MI other · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 7 | Henry Ford Health Twp, MI other · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 8 | Henry Ford Health Southfield, MI other · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 9 | Henry Ford Health Rochester, MI other · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 10 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 11 | Mercy Hospital Ada Inc Ada, OK facility · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 12 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 13 | Mercy Hospital Booneville Booneville, AR facility · fee schedule · outpatient | 2 | $82 | $82 | $30 | 37% | — | $52 – $111 |
| 14 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $111 | $103 | $39 | 38% | — | $52 – $146 |
| 15 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $111 | $103 | $39 | 38% | — | $52 – $146 |
| 16 | Mercy Hospital Jefferson Imperial, MO facility · fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 17 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 18 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · fee schedule · outpatient | 3 | $111 | $103 | $39 | 38% | — | $52 – $146 |
| 19 | Mercy Hospital Kingfisher, Inc Kingfisher, OK facility · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 20 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · fee schedule · outpatient | 2 | $129 | $129 | $17 | 13% | — | $111 – $146 |
| 21 | Mercy Hospital Lincoln Troy, MO facility · fee schedule · outpatient | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 22 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 23 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $82 | $82 | $30 | 37% | — | $52 – $111 |
| 24 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 3 | $111 | $103 | $39 | 38% | — | $52 – $146 |
| 25 | Mercy Hospital South Louis, MO facility · fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
← Payers reporting CPT 88355 · Snapshot 20261113T090226Z-3ce6c0b8