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
$1
Average
$72
Median
$54
High
$188
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 9.7× 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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43 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $173 | $173 | $16 | 9% | — | $157 – $188 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 6 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 7 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 9 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 10 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 13 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 14 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 15 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $81 | $81 | $4 | 5% | — | $77 – $84 |
| 17 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 19 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 21 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 22 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 23 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 24 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 25 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
← Payers reporting CPT 90743 · Snapshot 20261113T090226Z-3ce6c0b8