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 EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP
Low
$1
Average
$173
Median
$96
High
$2.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
800 hospitals; the 90th percentile is 11.5× 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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1,217 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 | $108 | $108 | $39 | 36% | 928 | $69 – $148 |
| 2 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | 443 | $16 – $16 |
| 3 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | 429 | $8 – $8 |
| 4 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | 259 | $31 – $31 |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $164 | $164 | — | — | 217 | $164 – $164 |
| 6 | Tacoma General Allenmore Hospital Bremerton, WA other · outpatient | 1 | $93 | $93 | — | — | 214 | $93 – $93 |
| 7 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $119 | $119 | — | — | 167 | $119 – $119 |
| 8 | Las Cruces Medical Center LLC Las Cruces, NM facility · other · outpatient | 1 | $68 | $68 | — | — | 149 | $68 – $68 |
| 9 | Loring Hospital Sac City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 147 | $38 – $38 |
| 10 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $82 | $80 | $25 | 31% | 140 | $48 – $109 |
| 11 | Mercy Health Saint Marys Rockford, MI facility · other · outpatient | 3 | $82 | $80 | $25 | 31% | 140 | $48 – $109 |
| 12 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | $21 | 28% | 127 | $53 – $96 |
| 13 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $113 | $15 | 13% | 120 | $92 – $123 |
| 14 | St Joseph Mercy Oakland Pontiac, MI facility · other · both | 3 | $82 | $79 | $26 | 33% | 111–165 | $46 – $109 |
| 15 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 2 | $72 | $72 | $44 | 60% | 108 | $29 – $116 |
| 16 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS fee schedule · outpatient | 2 | $108 | $108 | $39 | 36% | 108–117 | $69 – $148 |
| 17 | St Joseph Mercy Oakland Pontiac, MI facility · other · outpatient | 3 | $82 | $79 | $26 | 33% | 107–125 | $46 – $109 |
| 18 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $100 | $74 | $34 | 45% | 104 | $37 – $121 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT other · inpatient | 1 | $72 | $72 | — | — | 96 | $72 – $72 |
| 20 | MultiCare Deaconess Hospital Spokane, WA other · outpatient | 1 | $113 | $113 | — | — | 96 | $113 – $113 |
| 21 | MultiCare Capital Medical Center Lacey, WA other · outpatient | 1 | $93 | $93 | — | — | 88 | $93 – $93 |
| 22 | Natchez Hospital Company LLC Natchez, MS facility · other · outpatient | 2 | $70 | $70 | $2 | 3% | 87 | $68 – $72 |
| 23 | Navarro Hospital LP Corsicana, TX facility · other · outpatient | 4 | $116 | $113 | $44 | 38% | 87–96 | $56 – $165 |
| 24 | Pike Health Services Inc Waverly, OH facility · other · outpatient | 1 | $160 | $160 | — | — | 87 | $160 – $160 |
| 25 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS fee schedule · outpatient | 2 | $108 | $108 | $39 | 36% | 81–90 | $69 – $148 |
← Payers reporting CPT 99281 · Snapshot 20261111T120946Z-9134e7f7