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
1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes
Low
$17
Average
$196
Median
$76
High
$25k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
248 hospitals; the 90th percentile is 2.8× 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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345 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 6 | $67 | $67 | $4 | 6% | 2–20 | $59 – $72 |
| 2 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 6 | $58 | $58 | $2 | 3% | 2–20 | $55 – $61 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 6 | $67 | $67 | $4 | 6% | 2–20 | $59 – $72 |
| 4 | Beaufort Memorial Hospital Beaufort, SC professional · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | 1–10 | $62 – $62 |
| 5 | Central Washington Health Services Association Wenatchee, WA fee schedule · inpatient | 2 | $98 | $98 | $29 | 29% | 1–10 | $69 – $126 |
| 6 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · inpatient | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
| 7 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 3 | $62 | $70 | $11 | 16% | 1–10 | $62 – $85 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $73 | $69 | $19 | 27% | 1–10 | $48 – $100 |
| 9 | Mercy Health Saint Marys Rockford, MI professional · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | — | — | 1–10 | $53 – $53 |
| 10 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $100 | $100 | $33 | 33% | 1–10 | $67 – $132 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 13 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 15 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $112 | $112 | $39 | 34% | — | $73 – $150 |
| 16 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 17 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 3 | $77 | $85 | $16 | 19% | — | $64 – $109 |
| 18 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 3 | $80 | $87 | $13 | 15% | — | $77 – $109 |
| 19 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 3 | $77 | $82 | $17 | 20% | — | $64 – $109 |
| 20 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 3 | $80 | $87 | $13 | 15% | — | $77 – $109 |
| 21 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 3 | $80 | $87 | $13 | 15% | — | $77 – $109 |
| 22 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 3 | $80 | $87 | $13 | 15% | — | $77 – $109 |
| 23 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $67 | $67 | $8 | 12% | — | $59 – $74 |
| 24 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 25 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
← Payers reporting CPT 99221 · Snapshot 20261111T120946Z-9134e7f7