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
PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN
The hospitals that file a Ambetter 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.
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310 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $65.98 | $65.98 – $65.98 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $102.77 | $86.30 – $119.23 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $102.77 | $86.30 – $119.23 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $86.30 | $86.30 – $86.30 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $119.23 | $119.23 – $119.23 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $86.30 | $86.30 – $86.30 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $119.23 | $119.23 – $119.23 |
| 8 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $86.37 | $86.37 – $86.37 |
| 9 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $86.37 | $86.37 – $86.37 |
| 10 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $235.94 | $38.60 – $390.46 |
| 11 | Betsy Johnson Hospital Dunn, NC facility · other · outpatient | 1 | $83.44 | $83.44 – $83.44 |
| 12 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $79.20 | $79.20 – $79.20 |
| 13 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $99.00 | $99.00 – $99.00 |
| 14 | Callaway District Hospital Callaway, NE percent of total billed charges · outpatientfrom % of charges | 1 | $223.00 | $223.00 – $223.00 |
| 15 | Cape Fear Valley - Hoke Hospital Raeford, NC facility · other · outpatient | 1 | $111.26 | $111.26 – $111.26 |
| 16 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62.08 | $42.92 – $93.98 |
| 17 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $91.90 | $91.90 – $91.90 |
| 18 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $92.99 | $92.99 – $92.99 |
| 19 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · both | 1 | $14.88 | $14.88 – $14.88 |
| 20 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 1 | $92.99 | $92.99 – $92.99 |
| 21 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 1 | $92.99 | $92.99 – $92.99 |
| 22 | CentraState Medical Center Freehold Township, NJ fee schedule · both | 1 | $139.40 | $139.40 – $139.40 |
| 23 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 1 | $139.40 | $139.40 – $139.40 |
| 24 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $159.00 | $159.00 – $159.00 |
| 25 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $128.94 | $128.94 – $128.94 |
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