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&/Rsk Fctr Rdctj Indv Approx 60 Min
Low
$0
Average
$343
Median
$168
High
$1.5k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 29.6× 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
60 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 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 3 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 4 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 5 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 6 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 7 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 15 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 17 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · inpatientfrom % of charges | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 18 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 19 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 23 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 24 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 25 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $251 | $251 | — | — | — | $251 – $251 |
← Payers reporting CPT 99404 · Snapshot 20261112T181611Z-3fa9fb76