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
8-59" Analysis Ci <7yrs W/Prog
Low
$1
Average
$141
Median
$91
High
$452
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 8.5× 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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26 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 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $88 | $88 | — | — | — | $88 – $88 |
| 2 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $144 | $144 | — | — | — | $144 – $144 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both | 14 | $186 | $194 | $15 | 8% | — | $186 – $224 |
| 6 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 7 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA other · both | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 9 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 10 | Henry Ford Health Novi, MI other · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 11 | Henry Ford Health Twp, MI other · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 12 | Henry Ford Health Southfield, MI other · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 13 | Henry Ford Health Rochester, MI other · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 14 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 16 | Mercy Hospital South Louis, MO facility · fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 17 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | $14 | 17% | — | $68 – $95 |
| 18 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 19 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 20 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $325 | $325 | $108 | 33% | — | $217 – $433 |
| 22 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $452 | $452 | $151 | 33% | — | $302 – $603 |
| 23 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 24 | UMass Memorial Health - Harrington Hospital, Inc. 2nd Floor Webster, MA percent of total billed charges · bothfrom % of charges | 2 | $401 | $401 | $127 | 32% | — | $275 – $528 |
| 25 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA other · both | 1 | $154 | $154 | — | — | — | $154 – $154 |
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