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
Preventive Med New <1 Yr
Low
$10
Average
$207
Median
$82
High
$23.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
208 hospitals; the 90th percentile is 4.9× 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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286 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 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $102 | $108 | $13 | 12% | 19–28 | $98 – $130 |
| 2 | Nor-Lea Hospital District Lovington, NM professional · fee schedule · both | 1 | $81 | $81 | — | — | 15 | $81 – $81 |
| 3 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 4 | $98 | $104 | $15 | 15% | 2–20 | $90 – $130 |
| 4 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $223 | $223 | — | — | 2–20 | $223 – $223 |
| 5 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 6 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 7 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 4 | $98 | $104 | $15 | 15% | 1–10 | $90 – $130 |
| 8 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC per diem · both | 1 | $123 | $123 | — | — | 1–10 | $123 – $123 |
| 9 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 1–10 | $124 – $124 |
| 10 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC per diem · both | 1 | $123 | $123 | — | — | 1–10 | $123 – $123 |
| 11 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC per diem · both | 1 | $124 | $124 | — | — | 1–10 | $124 – $124 |
| 12 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $104 | $109 | $13 | 12% | 1–10 | $98 – $130 |
| 13 | Trinity Health Grand Haven Hospital Grand Haven, MI professional · fee schedule · both | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 16 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 17 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 19 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $165 | $165 | $57 | 34% | — | $108 – $222 |
| 20 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 21 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 22 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 23 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 24 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 25 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $278 | $278 | — | — | — | $278 – $278 |
← Payers reporting CPT 99381 · Snapshot 20261111T120946Z-9134e7f7