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
ANES PT EXTEME AGE<1 YR&>70
Low
$0
Average
$83
Median
$47
High
$308
Each hospital's average Molina rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 21.5× 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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78 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 5 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 6 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 7 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 8 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 12 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 13 | Children's National Hospital Washington, DC professional · fee schedule · both | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 14 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 16 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $6 | $11 | 173% | — | $0 – $25 |
| 17 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 3 | $0 | $8 | $12 | 141% | — | $0 – $25 |
| 18 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $6 | $11 | 173% | — | $0 – $25 |
| 19 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $5 | $10 | 200% | — | $0 – $25 |
| 20 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 24 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $372 | $372 | — | — | — | $372 – $372 |
| 25 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
← Payers reporting CPT 99100 · Snapshot 20261112T181611Z-3fa9fb76