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
$65
Median
$34
High
$459
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
93 hospitals; the 90th percentile is 11610.0× 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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130 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | $33 | 38% | — | $53 – $119 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 3 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $31 | $15 | 47% | — | $12 – $50 |
| 6 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $25 | $14 | 55% | — | $7 – $50 |
| 7 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $31 | $15 | 47% | — | $12 – $50 |
| 8 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $25 | $14 | 55% | — | $7 – $50 |
| 9 | Baptist Memorial Hospital-Memphis Memphis, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $31 | $15 | 47% | — | $12 – $50 |
| 10 | Baptist Memorial Hospital-Memphis Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $25 | $14 | 55% | — | $7 – $50 |
| 11 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $31 | $15 | 47% | — | $12 – $50 |
| 12 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $25 | $14 | 55% | — | $7 – $50 |
| 13 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | $4 | 23% | — | $11 – $23 |
| 14 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $4 | 23% | — | $11 – $23 |
| 15 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | CHRISTUS Hospital - Orange Orange, TX percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 18 | CHRISTUS West Beaumont Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 19 | Christus Health Southeast Texas Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 20 | Christus Health Southeast Texas Port Arthur, TX percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 23 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $350 | $390 | $146 | 37% | — | $234 – $585 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting CPT 99080 · Snapshot 20261113T090226Z-3ce6c0b8