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 QHP R&I MOTION ANALYSIS
Low
$115
Average
$594
Median
$377
High
$1.9k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 8.9× 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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69 hospital rates
iThe hospitals that file a MultiPlan 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 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $581 | $581 | $327 | 56% | — | $254 – $907 |
| 2 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $581 | $581 | $327 | 56% | — | $254 – $907 |
| 3 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $907 | $907 | — | — | — | $907 – $907 |
| 4 | BayCare Alliant Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $907 | $907 | — | — | — | $907 – $907 |
| 5 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $907 | $907 | — | — | — | $907 – $907 |
| 6 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $907 | $907 | — | — | — | $907 – $907 |
| 7 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 8 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · inpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 10 | Children's Mercy Hospital Kansas City, MO professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 11 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · inpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 12 | Children's Mercy Hospital Kansas Overland Park, KS professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 13 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 16 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 17 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 18 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 19 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 20 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · percent of total billed charges · inpatientfrom % of charges | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 21 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · percent of total billed charges · outpatientfrom % of charges | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 22 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 24 | Jennie Stuart Medical Center Hopkinsville, KY facility · fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 25 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL professional · fee schedule · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
← Payers reporting CPT 96004 · Snapshot 20261112T181611Z-3fa9fb76