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
Im Adm Thru 18yr Any Rte Addl Vac/Tox Compt
Low
$7
Average
$65
Median
$15
High
$743
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
128 hospitals; the 90th percentile is 21.0× 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
163 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 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $94 | $94 | — | — | 14 | $94 – $94 |
| 2 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 11 | $52 – $52 |
| 3 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $743 | $743 | — | — | 2–20 | $743 – $743 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 5 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 4 | $8 | $9 | $1 | 14% | 1–10 | $8 – $11 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $13 | $13 | $4 | 32% | — | $9 – $17 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 1 | $591 | $591 | — | — | — | $591 – $591 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 1 | $657 | $657 | — | — | — | $657 – $657 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 1 | $591 | $591 | — | — | — | $591 – $591 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 1 | $591 | $591 | — | — | — | $591 – $591 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 1 | $591 | $591 | — | — | — | $591 – $591 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 1 | $591 | $591 | — | — | — | $591 – $591 |
| 16 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 17 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 18 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $11 | $11 | $2 | 18% | — | $9 – $13 |
| 24 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting CPT 90461 · Snapshot 20261111T120946Z-9134e7f7