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
At Train Level III 15 Min
Low
$1
Average
$919
Median
$77
High
$25k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 3.5× 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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37 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $131 | $131 | $0 | 0% | — | $131 – $132 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $99 | $102 | $13 | 12% | — | $90 – $121 |
| 5 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 6 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 7 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 8 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 9 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 10 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 11 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 12 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 16 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · inpatientfrom % of charges | 2 | $79 | $79 | — | — | — | $79 – $79 |
| 17 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $79 | $79 | — | — | — | $79 – $79 |
| 18 | Carle Eureka Hospital Eureka, IL percent of total billed charges · inpatientfrom % of charges | 2 | $79 | $79 | — | — | — | $79 – $79 |
| 19 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $134 | $134 | $55 | 41% | — | $79 – $189 |
| 20 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 21 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $25k | $25k | — | — | — | $25k – $25k |
| 22 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 23 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 24 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 25 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
← Payers reporting CPT 97171 · Snapshot 20261112T181611Z-3fa9fb76