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
$81
Average
$953
Median
$361
High
$20k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 7.3× 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 Devoted 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $20k | $20k | — | — | — | $20k – $20k |
| 2 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $747 | $747 | — | — | — | $747 – $747 |
| 3 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $959 | $959 | — | — | — | $959 – $959 |
| 4 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $806 | $806 | — | — | — | $806 – $806 |
| 5 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 1 | $422 | $422 | — | — | — | $422 – $422 |
| 6 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 1 | $422 | $422 | — | — | — | $422 – $422 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 8 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 1 | $768 | $768 | — | — | — | $768 – $768 |
| 9 | Knox Hospital Company LLC Knox, IN facility · fee schedule · outpatient | 1 | $744 | $744 | — | — | — | $744 – $744 |
| 10 | La Porte Hospital Company LLC La Porte, IN facility · fee schedule · outpatient | 1 | $744 | $744 | — | — | — | $744 – $744 |
| 11 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · fee schedule · outpatient | 1 | $503 | $503 | — | — | — | $503 – $503 |
| 12 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $505 | $522 | $22 | 4% | — | $504 – $549 |
| 13 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 14 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 15 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $618 | $618 | — | — | — | $618 – $618 |
| 16 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · inpatientfrom % of charges | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 17 | Mercy Hospitals East Communities Washington, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 18 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 19 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $421 | $421 | — | — | — | $421 – $421 |
| 20 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $232 | $232 | — | — | — | $232 – $232 |
| 21 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $84 | $8 | 9% | — | $73 – $97 |
| 22 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 23 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 24 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 25 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $299 | $299 | — | — | — | $299 – $299 |
← Payers reporting CPT 90750 · Snapshot 20261111T120946Z-9134e7f7