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
$74
Median
$52
High
$1.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
487 hospitals; the 90th percentile is 7.4× 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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693 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $66 | $114 | $79 | 69% | 1,007–1,061 | $23 – $236 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $22 | $0 | 1% | 255 | $22 – $22 |
| 3 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 1 | $19 | $19 | — | — | 158 | $19 – $19 |
| 4 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 1 | $19 | $19 | — | — | 143 | $19 – $19 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 6 | $42 | $43 | $3 | 8% | 118–136 | $39 – $47 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $56 | $8 | 15% | 102 | $50 – $72 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $41 | $6 | 15% | 67 | $36 – $52 |
| 8 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 2 | $61 | $61 | — | — | 60 | $61 – $61 |
| 9 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $39 | $44 | $7 | 16% | 60 | $39 – $54 |
| 10 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $67 | $67 | $25 | 37% | 56–92 | $42 – $92 |
| 11 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 2 | $61 | $61 | — | — | 51 | $61 – $61 |
| 12 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $15 | $15 | — | — | 37 | $15 – $15 |
| 13 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $18 | $4 | 20% | 36 | $14 – $22 |
| 14 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 3 | $39 | $44 | $7 | 16% | 34–43 | $39 – $54 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $46 | $7 | 15% | 30 | $41 – $59 |
| 16 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $15 | $0 | 1% | 27 | $14 – $15 |
| 17 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $6 | $6 | — | — | 22 | $6 – $6 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $46 | $7 | 15% | 19 | $41 – $59 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $41 | $6 | 15% | 19 | $36 – $52 |
| 20 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $70 | $70 | — | — | 16–25 | $70 – $70 |
| 21 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $70 | $70 | — | — | 16–25 | $70 – $70 |
| 22 | Pekin Memorial Hospital Pekin, IL percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $22 | $0 | 1% | 15 | $22 – $22 |
| 23 | University Medical Center of Southern Nevada Las Vegas, NV percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | 14 | $48 – $48 |
| 24 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $29 | $29 | — | — | 13 | $29 – $29 |
| 25 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 11 | $47 – $47 |
← Payers reporting CPT 90715 · Snapshot 20261111T120946Z-9134e7f7