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
Amb Als Non Emerg Non Snf/Hosp
Low
$279
Average
$321
Median
$345
High
$356
Each hospital's average Clover rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 1.3× 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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7 hospital rates
iThe hospitals that file a Clover 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 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 2 | Conway Hospital, Inc. Conway, SC facility · case rate · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 3 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 4 | Wellstar Mcg Health, Affiliated With Med Col Augusta, GA facility · fee schedule · outpatient | 1 | $348 | $348 | — | — | — | $348 – $348 |
| 5 | Wellstar Spalding Regional Hospital Griffin, GA facility · fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 6 | Wellstar West Georgia Medical Center Lagrange, GA facility · fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 7 | Wellstar Windy Hill Hospital Marietta, GA facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
← Payers reporting HCPCS A0426 · Snapshot 20261111T120946Z-9134e7f7