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
HC PATENCY CAPSULE PROC
Low
$1
Average
$136
Median
$119
High
$574
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 6.1× 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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21 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · both | 2 | $169 | $169 | $15 | 9% | 1–10 | $153 – $184 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 7 | Henry Ford Health Novi, MI other · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 8 | Henry Ford Health Twp, MI other · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 9 | Henry Ford Health Southfield, MI other · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 10 | Henry Ford Health Rochester, MI other · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 11 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $574 | $574 | $17 | 3% | — | $557 – $591 |
| 12 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 13 | IOM Health System LP Fort Wayne, IN facility · per diem · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 14 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 16 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $229 | $229 | — | — | — | $229 – $229 |
| 17 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 19 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 20 | St. Joseph Health System, LLC Wayne, IN facility · per diem · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 21 | Wesley Health System LLC Hattiesburg, MS facility · case rate · outpatient | 2 | $119 | $119 | — | — | — | $119 – $119 |
← Payers reporting CPT 91299 · Snapshot 20261111T120946Z-9134e7f7