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
PR CMPLX CHRONIC CARE EA ADD 30
Low
$21
Average
$45
Median
$40
High
$60
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 1.7× 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
20 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Henry Ford Health System West Bloomfield, MI professional · fee schedule · outpatient | 2 | $60 | $60 | $16 | 27% | — | $44 – $77 |
| 5 | Henry Ford Health System Plymouth, MI professional · fee schedule · outpatient | 2 | $60 | $60 | $16 | 27% | — | $44 – $77 |
| 6 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · fee schedule · outpatient | 2 | $60 | $60 | $16 | 27% | — | $44 – $77 |
| 7 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI professional · fee schedule · outpatient | 2 | $60 | $60 | $16 | 27% | — | $44 – $77 |
| 8 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 9 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 10 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 11 | Sarasota Memorial Hospital - Venice North Venice, FL case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 13 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 15 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 16 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 17 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 18 | The New London Hospital Association, Inc. London, NH professional · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 19 | Uniontown Hospital Uniontown, PA facility · other · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 20 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
← Payers reporting CPT 99489 · Snapshot 20261112T181611Z-3fa9fb76