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
PREV MED CNSL INDIV APPRX 45
Low
$1
Average
$136
Median
$118
High
$231
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 5.4× 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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27 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 | $231 | $231 | — | — | — | $231 – $231 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 3 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 6 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $227 | $227 | — | — | — | $227 – $227 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 11 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 12 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 13 | NYU Langone New York, NY case rate · both | 15 | $162 | $162 | — | — | — | $162 – $162 |
| 14 | NYU Langone Mineola, NY case rate · both | 15 | $118 | $118 | — | — | — | $118 – $118 |
| 15 | NYU Langone Brooklyn, NY case rate · both | 15 | $160 | $160 | — | — | — | $160 – $160 |
| 16 | NYU Langone New York, NY case rate · both | 15 | $162 | $162 | — | — | — | $162 – $162 |
| 17 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · both | 15 | $112 | $112 | — | — | — | $112 – $112 |
| 18 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 19 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 20 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 21 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $81 | $30 | 38% | — | $40 – $114 |
| 22 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 23 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 24 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 2 | $154 | $154 | $49 | 32% | — | $106 – $203 |
| 25 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI professional · fee schedule · inpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
← Payers reporting CPT 99403 · Snapshot 20261112T181611Z-3fa9fb76