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
PB HOSPITAL PRO FEE PR SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES
Low
$51
Average
$145
Median
$137
High
$283
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 2.5× 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.
Filter by billing methodology
Filter by billing class
108 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 2 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 4 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 6 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 8 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 9 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 10 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 11 | Callaway District Hospital Callaway, NE percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $273 | $9 | 3% | — | $264 – $282 |
| 12 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 13 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 14 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 15 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 16 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 17 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 18 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 19 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 20 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 21 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 22 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 23 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 24 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 3 | $135 | $145 | $15 | 11% | — | $134 – $167 |
| 25 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
← Payers reporting CPT 99309 · Snapshot 20261111T120946Z-9134e7f7