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
Non-Emergent Care Lvl 1 Est Pt
Low
$1
Average
$89
Median
$45
High
$2.9k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
547 hospitals; the 90th percentile is 20.3× 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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828 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $9 | $10 | $3 | 34% | 8,706–8,724 | $7 – $16 |
| 2 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 644 | $124 – $124 |
| 3 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 644 | $124 – $124 |
| 4 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $8 | $19 | $23 | 124% | 430–439 | $8 – $76 |
| 5 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 7 | $46 | $68 | $60 | 88% | 401–437 | $24 – $225 |
| 6 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC per diem · both | 1 | $104 | $104 | — | — | 228 | $104 – $104 |
| 7 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $136 | $136 | — | — | 156 | $136 – $136 |
| 8 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC per diem · both | 1 | $123 | $123 | — | — | 155 | $123 – $123 |
| 9 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC per diem · both | 1 | $123 | $123 | — | — | 155 | $123 – $123 |
| 10 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 2 | $8 | $16 | $21 | 130% | 103 | $8 – $76 |
| 11 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $84 | $84 | — | — | 78 | $84 – $84 |
| 12 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $84 | $84 | — | — | 78 | $84 – $84 |
| 13 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $40 | $40 | — | — | 75 | $40 – $40 |
| 14 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 2 | $8 | $11 | $13 | 113% | 64 | $8 – $56 |
| 15 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $54 | $54 | $1 | 1% | 62 | $54 – $55 |
| 16 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $8 | $13 | $17 | 129% | 53–62 | $8 – $76 |
| 17 | Mary Bridge Children's Hospital Tacoma, WA other · outpatient | 1 | $150 | $150 | — | — | 39 | $150 – $150 |
| 18 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $50 | $50 | $25 | 49% | 39 | $26 – $75 |
| 19 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $50 | $25 | 49% | 39 | $26 – $75 |
| 20 | Public Hospital District No 4 King County WA Snoqualmie, WA other · outpatient | 2 | $20 | $40 | $41 | 103% | 31–49 | $9 – $111 |
| 21 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 2 | $9 | $9 | $2 | 18% | 19–28 | $7 – $10 |
| 22 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $87 | $87 | $77 | 88% | 19 | $10 – $163 |
| 23 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | — | — | 18 | $130 – $130 |
| 24 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 2 | $49 | $62 | $36 | 59% | 16–160 | $19 – $135 |
| 25 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC per diem · both | 1 | $90 | $90 | — | — | 11 | $90 – $90 |
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