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
AEP, THRESHOLD ESTIMATION AT MULT FRQ, W/ INTERP & RPT
Low
$51
Average
$348
Median
$259
High
$22k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
430 hospitals; the 90th percentile is 2.4× 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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541 hospital rates
iThe hospitals that file a WellCare 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 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 1 | $204 | $204 | $68 | 33% | 36 | $136 – $272 |
| 2 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 1 | $204 | $204 | $68 | 33% | 36 | $136 – $272 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | 23 | $109 – $109 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $103 | — | — | 23 | $103 – $103 |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $143 | $143 | — | — | 2–20 | $143 – $143 |
| 6 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $270 | $270 | $7 | 2% | 1–10 | $264 – $277 |
| 7 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 8 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 1 | $177 | $177 | — | — | 1–10 | $177 – $177 |
| 9 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $234 | $234 | $5 | 2% | — | $228 – $239 |
| 10 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 11 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 12 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 13 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 14 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 15 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 16 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 17 | Adventhealth Zephyrhills Zephyrhills, FL fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 18 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 19 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 20 | Arkansas Childrens Hospital Little Rock, AR facility · other · outpatient | 1 | $202 | $189 | $33 | 18% | — | $101 – $202 |
| 21 | Arkansas Childrens Northwest Springdale, AR facility · other · outpatient | 1 | $202 | $181 | $40 | 22% | — | $101 – $202 |
| 22 | Ascension NE Wisconsin, Inc. Appleton, WI other · inpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 23 | Ascension NE Wisconsin, Inc. Appleton, WI other · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 24 | Ascension NE Wisconsin, Inc. Oshkosh, WI other · inpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
| 25 | Ascension NE Wisconsin, Inc. Oshkosh, WI other · outpatient | 1 | $314 | $314 | — | — | — | $314 – $314 |
← Payers reporting CPT 92652 · Snapshot 20261111T120946Z-9134e7f7