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
Team Conf Pt/Pt Not Present IP
Low
$14
Average
$74
Median
$45
High
$266
Each hospital's average Molina rate, under the methodology and billing class chosen below.
147 hospitals; the 90th percentile is 9.2× 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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165 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $46 | $46 | $16 | 34% | — | $30 – $62 |
| 5 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 6 | Aurora Medical Center Fond du Lac Fond Du Lac, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 7 | Aurora Medical Center Grafton Grafton, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 8 | Aurora Medical Center Kenosha Kenosha, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 9 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 10 | Aurora Medical Center Oshkosh Oshkosh, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 11 | Aurora Medical Center Summit Summit, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 12 | Aurora Medical Center Washington County Hartford, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 13 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 14 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 15 | Aurora St Lukes South Shore of Aurora Health Care Metro Inc Cudahy, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 16 | Aurora West Allis Medical Center West Allis, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 17 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 18 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 19 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $48 | $48 | $17 | 35% | — | $31 – $65 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $48 | $48 | $17 | 35% | — | $31 – $65 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $48 | $48 | $17 | 35% | — | $31 – $65 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 25 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
← Payers reporting CPT 99368 · Snapshot 20261113T090226Z-3ce6c0b8