Low
$34
Average
$60
Median
$42
High
$105
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3 hospital rates
iThe hospitals that file a Caresource 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 | Evans Memorial Hospital Claxton, GA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Monroe Hospital Bloomington, IN fee schedule · outpatient | 2 | $105 | $105 | — | — | — | $105 – $105 |
| 3 | TWIN CITY HOSPITAL CORPORATION Dennison, OH fee schedule · outpatient | 1 | $34 | $34 | $0 | 1% | — | $34 – $34 |
← Payers reporting CPT 97004 · Snapshot 20261113T090226Z-3ce6c0b8