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
PR MNT INIT INDV EA 15MIN
Low
$2
Average
$59
Median
$40
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
651 hospitals; the 90th percentile is 3.7× 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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920 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 | Upstate University Hospital Syracuse, NY facility · case rate · outpatient | 2 | $50 | $50 | $19 | 37% | 60–69 | $31 – $69 |
| 2 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $25 | $33 | $12 | 36% | 27 | $25 – $52 |
| 3 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $95 | $95 | — | — | 23 | $95 – $95 |
| 4 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $27 | $27 | — | — | 22 | $27 – $27 |
| 5 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 2 | $142 | $142 | $18 | 13% | 22–31 | $123 – $160 |
| 6 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $193 | $193 | $12 | 6% | 17–26 | $181 – $205 |
| 7 | MIDSTATE MEDICAL CENTER MERIDEN, CT percent of total billed charges · outpatientfrom % of charges | 2 | $147 | $147 | $1 | 1% | 13–22 | $145 – $148 |
| 8 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $68 | $68 | $22 | 32% | 13–22 | $46 – $90 |
| 9 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT percent of total billed charges · outpatientfrom % of charges | 2 | $427 | $427 | $7 | 2% | 13–22 | $420 – $434 |
| 10 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $27 | $27 | — | — | 11 | $27 – $27 |
| 11 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $25 | $33 | $12 | 37% | 3–30 | $25 – $52 |
| 12 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $1 | 22% | 3–30 | $2 – $4 |
| 13 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $63 | $73 | $34 | 47% | 3–30 | $55 – $170 |
| 14 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | 3–30 | $31 – $31 |
| 15 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $57 | $57 | — | — | 2–20 | $57 – $57 |
| 16 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $80 | $80 | — | — | 2–20 | $80 – $80 |
| 17 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT percent of total billed charges · outpatientfrom % of charges | 2 | $230 | $230 | $31 | 13% | 2–20 | $199 – $261 |
| 18 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $166 | $166 | $7 | 4% | 2–20 | $159 – $173 |
| 19 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | 2–20 | $118 – $118 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | 1–10 | $3 – $3 |
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