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
<24MOS-TRANSPORT FIRST 30MIN
Low
$0
Average
$95
Median
$113
High
$143
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 961.1× 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 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 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 5 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 6 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 7 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 8 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 9 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 10 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 11 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 12 | SID Peterson Memorial Hospital Kerrville, TX facility · case rate · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 13 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 14 | USA Health Children's & Women's Hospital Mobile, AL facility · case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 15 | USA Health University Hospital Mobile, AL facility · case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 16 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 17 | University Hospitals Health System Ravenna, OH facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 18 | University Hospitals Health System Chardon, OH facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 19 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 20 | University Hospitals Health System Concord Township, OH facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 21 | University Hospitals Health System Parma, OH facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 22 | University Hospitals Health System Beachwood, OH facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 23 | University Hospitals Health System Elyria, OH facility · fee schedule · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 24 | Vanderbilt Bedford Hospital Shelbyville, TN fee schedule · both | 2 | $137 | $138 | $6 | 5% | — | $130 – $145 |
| 25 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN fee schedule · both | 2 | $137 | $138 | $6 | 5% | — | $130 – $145 |
← Payers reporting CPT 99485 · Snapshot 20261113T090226Z-3ce6c0b8