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
HOME EST, PATIENT
Low
$13
Average
$121
Median
$117
High
$460
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 5.7× 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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48 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $93 | $93 | $22 | 23% | — | $71 – $115 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $98 | $98 | $17 | 18% | — | $80 – $115 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $98 | $98 | $17 | 18% | — | $80 – $115 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 5 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 10 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $412 | $412 | — | — | — | $412 – $412 |
| 11 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 2 | $137 | $137 | — | — | — | $137 – $137 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 13 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $98 | $98 | $17 | 18% | — | $80 – $115 |
| 14 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 17 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 18 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $93 | $93 | $22 | 23% | — | $71 – $115 |
| 19 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 1 | $170 | $170 | — | — | — | $170 – $170 |
| 20 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $170 | $170 | — | — | — | $170 – $170 |
| 21 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 22 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 23 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 24 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 25 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
← Payers reporting CPT 99350 · Snapshot 20261112T181611Z-3fa9fb76