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
Fee Schedule
Low
$73
Average
$120
Median
$148
High
$162
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 2.2× 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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12 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 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 3 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 4 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 5 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 6 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 8 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 9 | Mercy Rehabilitation Hospital Northwest Arkansas Rogers, AR per diem · inpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 10 | Mercy Rehabilitation Hospital South Louis, MO per diem · inpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 11 | Mercy Rehabilitation Hospital Springfield LLC Springfield, MO per diem · inpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 12 | Mercy Rehabilitation Hospital St. Louis Chesterfield, MO per diem · inpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Payers reporting CPT 96111 · Snapshot 20261112T124536Z-e251e855