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 Photochemotx Tar&Uvb/Petrolatum/Uvb
Low
$1
Average
$84
Median
$77
High
$317
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 14.8× 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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32 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 | $317 | $317 | — | — | 49 | $317 – $317 |
| 2 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $24 | $24 | $1 | 5% | — | $22 – $25 |
| 3 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $73 | $73 | — | — | — | $73 – $73 |
| 4 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $94 | $94 | — | — | — | $94 – $94 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 8 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $147 | $147 | — | — | — | $147 – $147 |
| 9 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 2 | $94 | $94 | — | — | — | $94 – $94 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 11 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Henry Ford Health Novi, MI other · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 15 | Henry Ford Health Twp, MI other · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 16 | Henry Ford Health Southfield, MI other · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 17 | Henry Ford Health Rochester, MI other · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 18 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 19 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 20 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 21 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 22 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 23 | NYU Langone New York, NY case rate · both | 15 | $149 | $149 | — | — | — | $149 – $149 |
| 24 | NYU Langone Mineola, NY case rate · both | 15 | $105 | $105 | — | — | — | $105 – $105 |
| 25 | NYU Langone Brooklyn, NY case rate · both | 15 | $147 | $147 | — | — | — | $147 – $147 |
← Payers reporting CPT 96910 · Snapshot 20261112T124536Z-e251e855