Low
$2
Average
$18
Median
$24
High
$24
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4 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 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 2 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $24 | $24 | $0 | 1% | — | $23 – $24 |
| 4 | The New London Hospital Association, Inc. London, NH professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting HCPCS A4246 · Snapshot 20261111T120946Z-9134e7f7