CPT 99191
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 pump services
Low
$18
Average
$6.1k
Median
$2.1k
High
$25k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 55.5× 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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54 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 | $356 | $356 | — | — | — | $356 – $356 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 3 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Aurora Medical Center Grafton Grafton, WI case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Aurora Medical Center Kenosha Kenosha, WI case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Aurora Medical Center Summit Summit, WI case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 10 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $623 | $623 | — | — | — | $623 – $623 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $407 | $407 | — | — | — | $407 – $407 |
| 14 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 15 | Conway Hospital, Inc. Conway, SC facility · case rate · outpatient | 2 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 16 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $25k | $25k | — | — | — | $25k – $25k |
| 17 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 18 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 19 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 20 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 21 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · case rate · outpatient | 3 | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 22 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · case rate · outpatient | 3 | $15.2k | $14.0k | $1.7k | 12% | — | $11.7k – $15.2k |
| 23 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · case rate · outpatient | 3 | $16.3k | $14.8k | $2.2k | 15% | — | $11.7k – $16.3k |
| 24 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · case rate · outpatient | 4 | $14.1k | $13.8k | $497 | 4% | — | $13.0k – $14.1k |
| 25 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · case rate · outpatient | 4 | $15.5k | $15.2k | $611 | 4% | — | $14.1k – $15.5k |
← Payers reporting CPT 99191 · Snapshot 20261113T090226Z-3ce6c0b8