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
Medical Service
Low
$1
Average
$244
Median
$168
High
$5.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
539 hospitals; the 90th percentile is 3.3× 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.
Filter by billing methodology
Filter by billing class
757 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | — | — | 1,374 | $180 – $180 |
| 2 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $401 | $449 | $288 | 64% | 96 | $170 – $825 |
| 3 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient | 2 | $42 | $42 | — | — | 78–87 | $42 – $42 |
| 4 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $171 | $171 | $69 | 40% | 73–82 | $103 – $240 |
| 5 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $222 | $222 | $24 | 11% | 68 | $196 – $248 |
| 6 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $120 | $120 | — | — | 48 | $120 – $120 |
| 7 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | 37 | $111 – $111 |
| 8 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · both | 4 | $116 | $127 | $23 | 18% | 34–43 | $111 – $166 |
| 9 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM professional · other · outpatient | 2 | $428 | $347 | $130 | 37% | 34 | $115 – $428 |
| 10 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $384 | $384 | $1 | 0% | 24–33 | $383 – $385 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT other · inpatient | 1 | $154 | $154 | — | — | 20 | $154 – $154 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 1 | $253 | $253 | — | — | 12 | $253 – $253 |
| 13 | West Virginia University Hospitals, Inc. Morgantown, WV professional · other · outpatient | 2 | $171 | $134 | $50 | 37% | 3–30 | $65 – $171 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 6 | $103 | $108 | $11 | 10% | 2–20 | $99 – $125 |
| 15 | Parkland Health Dallas, TX professional · fee schedule · both | 3 | $122 | $135 | $19 | 14% | 2–20 | $122 – $161 |
| 16 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $42 | $42 | — | — | 2–20 | $42 – $42 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · inpatientfrom % of charges | 1 | $253 | $253 | — | — | 1–10 | $253 – $253 |
| 18 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $259 | $259 | — | — | 1–10 | $259 – $259 |
| 19 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $259 | $259 | — | — | 1–10 | $259 – $259 |
| 20 | Parkland Health Dallas, TX professional · percent of total billed charges · bothfrom % of charges | 5 | $128 | $191 | $77 | 40% | 1–10 | $128 – $285 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $132 | $144 | $62 | 43% | 1–10 | $91 – $262 |
| 22 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 5 | $163 | $151 | $45 | 30% | 1–10 | $103 – $224 |
| 23 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · inpatient | 5 | $133 | $126 | $34 | 27% | 1–10 | $91 – $183 |
| 24 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 5 | $163 | $151 | $45 | 30% | 1–10 | $103 – $224 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
← Payers reporting CPT 90837 · Snapshot 20261111T120946Z-9134e7f7