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
HB=MNT RE-ASSESSMENT INDIV EA 15 MIN
Low
$1
Average
$44
Median
$28
High
$173
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
126 hospitals; the 90th percentile is 9.5× 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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137 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 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $5 | $7 | $7 | 96% | 305 | $2 – $21 |
| 2 | Lowell General Hospital Lowell, MA other · both | 1 | $120 | $120 | $7 | 6% | 204 | $113 – $127 |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges | 2 | $42 | $50 | $19 | 37% | 114 | $31 – $82 |
| 4 | Tufts Medical Center BOSTON, MA other · both | 1 | $109 | $109 | $21 | 19% | 70 | $88 – $130 |
| 5 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $110 | $110 | $12 | 11% | 16 | $98 – $122 |
| 6 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $109 | $109 | $21 | 19% | 2–20 | $88 – $130 |
| 7 | Eskenazi Health Indianapolis, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | — | — | 1–10 | $31 – $31 |
| 8 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 9 | Spaulding Rehabilitation Hospital Cape Cod Sandwich, MA percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 10 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 11 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $32 | $32 | $6 | 18% | — | $26 – $37 |
| 12 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $32 | $32 | $6 | 18% | — | $26 – $37 |
| 13 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 14 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 15 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 16 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 18 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 20 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $137 | $137 | $7 | 5% | — | $131 – $144 |
| 22 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $137 | $137 | $7 | 5% | — | $131 – $144 |
| 23 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 24 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
← Payers reporting CPT 97803 · Snapshot 20261111T120946Z-9134e7f7