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
PI volunteer ambulance co
Low
$121
Average
$343
Median
$306
High
$807
Each hospital's average Molina rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 1.8× 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.
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26 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 | Conway Hospital, Inc. Conway, SC facility · case rate · outpatient | 2 | $279 | $279 | — | — | — | $279 – $279 |
| 2 | Corewell Health Farmington Hills Hospital Farmington Hills, MI facility · fee schedule · outpatient | 1 | $504 | $504 | — | — | — | $504 – $504 |
| 3 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · inpatientfrom % of charges | 2 | $131 | $131 | — | — | — | $131 – $131 |
| 4 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 2 | $111 | $111 | $20 | 18% | — | $91 – $131 |
| 5 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · case rate · outpatient | 3 | $313 | $313 | — | — | — | $313 – $313 |
| 6 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · case rate · outpatient | 3 | $307 | $283 | $34 | 12% | — | $235 – $307 |
| 7 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · case rate · outpatient | 3 | $307 | $283 | $34 | 12% | — | $235 – $307 |
| 8 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · case rate · outpatient | 4 | $285 | $283 | $2 | 1% | — | $279 – $285 |
| 9 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · case rate · outpatient | 4 | $313 | $306 | $12 | 4% | — | $285 – $313 |
| 10 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · case rate · outpatient | 3 | $313 | $313 | — | — | — | $313 – $313 |
| 11 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT facility · case rate · outpatient | 4 | $307 | $290 | $30 | 10% | — | $237 – $307 |
| 12 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · case rate · outpatient | 4 | $313 | $306 | $12 | 4% | — | $285 – $313 |
| 13 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · case rate · outpatient | 4 | $313 | $306 | $12 | 4% | — | $285 – $313 |
| 14 | IHC Health Services Inc., DBA Intermountain Health Park City Hospital Park City, UT facility · case rate · outpatient | 2 | $266 | $266 | $36 | 13% | — | $230 – $302 |
| 15 | IHC Health Services Inc., DBA Intermountain Health Riverton Hospital Riverton, UT facility · case rate · outpatient | 2 | $313 | $313 | — | — | — | $313 – $313 |
| 16 | IHC Health Services Inc., DBA Intermountain Health Sevier Valley Hospital Richfield, UT facility · case rate · outpatient | 3 | $307 | $283 | $34 | 12% | — | $235 – $307 |
| 17 | IHC Health Services Inc., DBA Intermountain Health Spanish Fork Hospital Spanish Fork, UT facility · case rate · outpatient | 2 | $313 | $313 | — | — | — | $313 – $313 |
| 18 | IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital St. George, UT facility · case rate · outpatient | 4 | $307 | $302 | $10 | 3% | — | $285 – $307 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital Provo, UT facility · case rate · outpatient | 3 | $313 | $287 | $37 | 13% | — | $235 – $313 |
| 20 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · case rate · outpatient | 4 | $307 | $302 | $10 | 3% | — | $285 – $307 |
| 21 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · case rate · outpatient | 4 | $307 | $302 | $10 | 3% | — | $285 – $307 |
| 22 | IHC Health Services, Inc,. DBA Intermountain Health Alta View Hospital Sandy, UT facility · case rate · outpatient | 3 | $313 | $313 | — | — | — | $313 – $313 |
| 23 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $807 | $807 | — | — | — | $807 – $807 |
| 24 | Oakwood Healthcare Inc Dearborn, MI facility · fee schedule · outpatient | 1 | $504 | $504 | — | — | — | $504 – $504 |
| 25 | Roswell Park Cancer Institute Buffalo, NY fee schedule · outpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
← Payers reporting HCPCS A0432 · Snapshot 20261112T181611Z-3fa9fb76