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 DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD
Low
$1
Average
$124
Median
$83
High
$837
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 4.7× 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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54 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 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $131 | $131 | $48 | 36% | — | $83 – $178 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 7 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $73 | $73 | $3 | 5% | — | $69 – $76 |
| 8 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $73 | $73 | $3 | 5% | — | $69 – $76 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 11 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 12 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 14 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 15 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $70 | $70 | $3 | 5% | — | $67 – $74 |
| 16 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $178 | $178 | — | — | — | $178 – $178 |
| 17 | Emerson Hospital Concord, MA facility · fee schedule · outpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 18 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $70 | $70 | $3 | 5% | — | $67 – $74 |
| 19 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $32 | $32 | $18 | 55% | — | $14 – $50 |
| 20 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 21 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 22 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $70 | $70 | $3 | 5% | — | $67 – $74 |
| 23 | Henry Ford Health Novi, MI other · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 24 | Henry Ford Health Twp, MI other · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 25 | Henry Ford Health Southfield, MI other · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Payers reporting CPT 93981 · Snapshot 20261112T181611Z-3fa9fb76