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
professional
Low
$5
Average
$34
Median
$21
High
$219
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 5.8× 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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41 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 4 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 6 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 11 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 13 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 14 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 15 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 16 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 17 | OCHSNER BAYOU LLC Raceland, LA other · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 18 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $57 | $45 | $17 | 37% | — | $22 – $57 |
| 19 | Rex Hospital, Inc. Holly Springs, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 20 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA other · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 21 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 22 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 23 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 24 | Sarasota Memorial Hospital - Venice North Venice, FL case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 25 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
← Payers reporting CPT 90743 · Snapshot 20261113T090226Z-3ce6c0b8