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
$3
Average
$53
Median
$33
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
646 hospitals; the 90th percentile is 3.8× 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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910 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% | 179 | $31 – $69 |
| 2 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $162 | $162 | $26 | 16% | 20–29 | $136 – $189 |
| 3 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT percent of total billed charges · outpatientfrom % of charges | 2 | $229 | $229 | $29 | 13% | 15–24 | $200 – $258 |
| 4 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $21 | $30 | $14 | 46% | 15–33 | $21 – $52 |
| 5 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $23 | $23 | — | — | 14 | $23 – $23 |
| 6 | MIDSTATE MEDICAL CENTER MERIDEN, CT percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $47 | $2 | 4% | 13–22 | $46 – $49 |
| 7 | 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 | $54 | $54 | $2 | 4% | 12–21 | $52 – $56 |
| 8 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $23 | $23 | — | — | 11 | $23 – $23 |
| 9 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $80 | $80 | — | — | 5–50 | $80 – $80 |
| 10 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $53 | $61 | $19 | 31% | 4–40 | $49 – $99 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $1 | 45% | 2–20 | $2 – $4 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | $1 | 45% | 2–20 | $2 – $5 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | $2 | 45% | 2–20 | $2 – $6 |
| 14 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $49 | $49 | — | — | 2–20 | $49 – $49 |
| 15 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $36 | — | — | 2–20 | $36 – $36 |
| 16 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $63 | $63 | $20 | 32% | 2–20 | $43 – $83 |
| 17 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $111 | $111 | $5 | 4% | 2–20 | $106 – $116 |
| 18 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $95 | $95 | — | — | 1–10 | $95 – $95 |
| 19 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | — | — | 1–10 | $174 – $174 |
| 20 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 1 | $5 | $11 | $14 | 129% | 1–10 | $2 – $39 |
| 21 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $30 | $30 | $3 | 11% | 1–10 | $26 – $33 |
| 22 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 23 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · outpatient | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 24 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 25 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
← Payers reporting CPT 97803 · Snapshot 20261111T120946Z-9134e7f7