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.
Generation details were not recorded for this description.
Original text from hospital filings
NDL NONCORING RFL22G2IN
Low
$4
Average
$240
Median
$125
High
$2.2k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 106.5× 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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41 hospital rates
iThe hospitals that file a First Health 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 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN facility · fee schedule · both | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 4 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | $1 | 23% | — | $4 – $6 |
| 5 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $767 | $767 | $699 | 91% | — | $68 – $1.5k |
| 6 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 2 | $420 | $427 | $229 | 54% | — | $192 – $675 |
| 7 | John Muir Health Concord, CA percent of total billed charges · bothfrom % of charges | 2 | $655 | $655 | $20 | 3% | — | $635 – $675 |
| 8 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $311 | $242 | $111 | 46% | — | $32 – $311 |
| 9 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $242 | $111 | 46% | — | $32 – $311 |
| 10 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $7 | $10 | $6 | 55% | — | $7 – $21 |
| 11 | Munson Healthcare Cadillac Cadillac, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $294 | $262 | $71 | 27% | — | $103 – $294 |
| 12 | Munson Healthcare Cadillac Cadillac, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $294 | $262 | $71 | 27% | — | $103 – $294 |
| 13 | Munson Healthcare Charlevoix Hospital Charlevoix, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $276 | $213 | $103 | 48% | — | $12 – $276 |
| 14 | Munson Healthcare Grayling Grayling, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $294 | $262 | $71 | 27% | — | $103 – $294 |
| 15 | Munson Healthcare Grayling Grayling, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $294 | $262 | $71 | 27% | — | $103 – $294 |
| 16 | Munson Medical Center Traverse City, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $311 | $282 | $71 | 25% | — | $109 – $311 |
| 17 | Munson Medical Center Traverse City, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $282 | $71 | 25% | — | $109 – $311 |
| 18 | Olivia Hospital Olivia, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 19 | Paul Oliver Memorial Hospital Frankfort, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $311 | $271 | $81 | 30% | — | $109 – $311 |
| 20 | Paul Oliver Memorial Hospital Frankfort, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $311 | $271 | $81 | 30% | — | $109 – $311 |
| 21 | Pemiscot Memorial Health System Hayti, MO percent of total billed charges · outpatientfrom % of charges | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 22 | Penn State Health Hampden Medical Center Enola, PA percent of total billed charges · bothfrom % of charges | 1 | $50 | $125 | $117 | 94% | — | $19 – $346 |
| 23 | Penn State Health Holy Spirit Medical Center Camp Hill, PA percent of total billed charges · bothfrom % of charges | 1 | $50 | $125 | $117 | 94% | — | $19 – $346 |
| 24 | Penn State Health Lancaster Medical Center Lancaster, PA percent of total billed charges · bothfrom % of charges | 1 | $50 | $125 | $117 | 94% | — | $19 – $346 |
| 25 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $92 | $164 | $162 | 98% | — | $19 – $516 |
← Payers reporting HCPCS A4212 · Snapshot 20261111T120946Z-9134e7f7