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
Mod Sed Same Phys/Qhp Each Addl 15 Mins
Low
$0
Average
$95
Median
$33
High
$3.2k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
529 hospitals; the 90th percentile is 20.9× 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.
Filter by billing methodology
Filter by billing class
745 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $100 | $113 | $72 | 64% | 74 | $43 – $207 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | 14 | $54 – $54 |
| 3 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 1 | $19 | $19 | — | — | 14 | $19 – $19 |
| 4 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 1 | $19 | $19 | — | — | 13 | $19 – $19 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 12 | $40 – $40 |
| 6 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $19 | $19 | — | — | 3–30 | $19 – $19 |
| 7 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 1 | $9 | $9 | — | — | 2–20 | $9 – $9 |
| 8 | Pocahontas Community Hospital Pocahontas, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $82 | $82 | — | — | 2–20 | $82 – $82 |
| 9 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $97 | $97 | — | — | 2–20 | $97 – $97 |
| 10 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 1 | $8 | $8 | — | — | 2–20 | $8 – $8 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 15 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 2 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 16 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 2 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 17 | Dallas Regional Medical Center Mesquite, TX percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | 1–10 | $109 – $109 |
| 18 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $372 | $372 | — | — | 1–10 | $372 – $372 |
| 19 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $81 | $81 | $1 | 1% | 1–10 | $80 – $82 |
| 20 | Navarro Hospital LP Corsicana, TX facility · other · outpatient | 4 | $167 | $142 | $45 | 32% | 1–10 | $65 – $191 |
| 21 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 22 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
← Payers reporting CPT 99153 · Snapshot 20261111T120946Z-9134e7f7