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
SPECIAL REPORTS OR FORMS
Low
$0
Average
$11
Median
$0
High
$60
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 2995.2× 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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24 hospital rates
iThe hospitals that file a Ambetter 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 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 3 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 4 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 10 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 11 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $6 | $1 | 25% | — | $4 – $8 |
| 14 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 15 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $6 | $1 | 25% | — | $4 – $8 |
| 16 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | Morrison Community Hospital District Morrison, IL professional · fee schedule · both | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 18 | ST JOSEPH REGIONAL HEALTH CENTER Navasota, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | $3 | 7% | — | $41 – $47 |
| 21 | Vanderbilt Bedford Hospital Shelbyville, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Vanderbilt University Medical Center Nashville, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Vanderbilt Wilson County Hospital Lebanon, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 99080 · Snapshot 20261113T090226Z-3ce6c0b8