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
Caregiver Hlth Risk Assmt Score Doc Stnd Instrm
Low
$2
Average
$29
Median
$18
High
$125
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 33.2× 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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41 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 | Tufts Medical Center BOSTON, MA other · both | 1 | $34 | $34 | — | — | 1–10 | $34 – $34 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 9 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 11 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Henry Ford Health Novi, MI other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 13 | Henry Ford Health Twp, MI other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 14 | Henry Ford Health Southfield, MI other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 15 | Henry Ford Health Rochester, MI other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 17 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $24 | $19 | $8 | 40% | — | $8 – $24 |
| 18 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 20 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 21 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 22 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 23 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 24 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 25 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
← Payers reporting CPT 96161 · Snapshot 20261111T120946Z-9134e7f7