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
$100
Median
$109
High
$400
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 2.9× 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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108 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $119 | $119 | $3 | 2% | — | $116 – $122 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 4 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 6 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 8 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 16 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 17 | Blue Hill Memorial Hospital Hill, ME professional · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 18 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 19 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 20 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 21 | Charles A. Dean Memorial Hospital Greenville, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 22 | Charles A. Dean Memorial Hospital Greenville, ME professional · percent of total billed charges · outpatientfrom % of charges | 1 | $302 | $302 | $23 | 8% | — | $278 – $325 |
| 23 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 25 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
← Payers reporting CPT 99404 · Snapshot 20261112T181611Z-3fa9fb76