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 Visit Office Outpatient Established Moderate Level
The hospitals that file a Excellus 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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128 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $170.16 | $98.84 – $295.14 |
| 2 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $119.97 | $98.32 – $131.53 |
| 3 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 1 | $400.32 | $400.32 – $400.32 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $75.11 | $41.71 – $116.70 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $88.37 | $49.07 – $137.30 |
| 6 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · both | 3 | $13.22 | $5.10 – $21.97 |
| 7 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 3 | $88.37 | $49.07 – $137.30 |
| 8 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 3 | $88.37 | $49.07 – $137.30 |
| 9 | Central Community Hospital Elkader, IA professional · fee schedule · both | 3 | $106.12 | $56.78 – $155.70 |
| 10 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102.00 | $102.00 – $102.00 |
| 11 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $106.51 | $91.14 – $130.06 |
| 12 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $70.80 | $70.80 – $70.80 |
| 13 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $217.31 | $217.31 – $217.31 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $88.37 | $49.07 – $137.30 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $75.11 | $41.71 – $116.70 |
| 16 | Diley Ridge Medical Center Canal Winchester, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $33.12 | $33.12 – $33.12 |
| 17 | Diley Ridge Medical Center Canal Winchester, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $219.00 | $219.00 – $219.00 |
| 18 | Diley Ridge Medical Center Canal Winchester, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $207.00 | $207.00 – $207.00 |
| 19 | Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both | 3 | $106.51 | $91.14 – $130.06 |
| 20 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 5 | $96.92 | $24.59 – $227.34 |
| 21 | Highland Hospital Rochester, NY fee schedule · outpatient | 5 | $104.24 | $24.95 – $276.00 |
| 22 | Holy Cross Germantown Hospital Germantown, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $207.00 | $207.00 – $207.00 |
| 23 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 3 | $89.83 | $50.77 – $131.99 |
| 24 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $207.00 | $207.00 – $207.00 |
| 25 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · inpatient | 3 | $46.17 | $13.00 – $101.67 |
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