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
HC WORK RLTD/MED DISABILITY EXAM
Low
$0
Average
$582
Median
$82
High
$25k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 21633.8× 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
61 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 | $60 | $60 | — | — | — | $60 – $60 |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 4 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 5 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 9 | Callaway District Hospital Callaway, NE fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 10 | City of Hope National Medical Center Duarte, CA percent of total billed charges · inpatientfrom % of charges | 1 | $355 | $355 | — | — | — | $355 – $355 |
| 11 | City of Hope National Medical Center Duarte, CA percent of total billed charges · outpatientfrom % of charges | 2 | $408 | $408 | $53 | 13% | — | $355 – $462 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 13 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $177 | $178 | $22 | 12% | — | $149 – $210 |
| 14 | Columbia Lutheran Charities Astoria, OR professional · percent of total billed charges · bothfrom % of charges | 1 | $221 | $221 | $13 | 6% | — | $208 – $234 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 2 | $77 | $77 | — | — | — | $77 – $77 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $97 | $97 | — | — | — | $97 – $97 |
| 17 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $25k | $25k | — | — | — | $25k – $25k |
| 25 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
← Payers reporting CPT 99455 · Snapshot 20261112T181611Z-3fa9fb76