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
PR VSRCTV STD TCD ICR ART COMPL
Low
$58
Average
$389
Median
$313
High
$1.7k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 5.5× 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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66 hospital rates
iThe hospitals that file a Ambetter 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 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 2 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 3 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 4 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 5 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 6 | Baylor Scott & White Medical Center - Irving Irving, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 7 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 8 | Baylor Scott & White Medical Center - McKinney McKinney, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 9 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 10 | Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 11 | Baylor Scott & White The Heart Hospital - Denton Denton, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 12 | Baylor Scott & White The Heart Hospital - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 13 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $614 | $614 | — | — | — | $614 – $614 |
| 14 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $160 | $141 | $67 | 47% | — | $51 – $211 |
| 16 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 17 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 18 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 3 | $168 | $181 | $19 | 11% | — | $167 – $209 |
| 19 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $235 | $235 | — | — | — | $235 – $235 |
| 20 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 21 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $86 | $86 | $47 | 55% | — | $39 – $134 |
| 22 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $406 | $406 | — | — | — | $406 – $406 |
| 23 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $417 | $417 | — | — | — | $417 – $417 |
| 24 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $417 | $417 | — | — | — | $417 – $417 |
| 25 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
← Payers reporting CPT 93896 · Snapshot 20261112T181611Z-3fa9fb76