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
facility
Low
$0
Average
$56
Median
$38
High
$201
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 19.5× 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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22 hospital rates
iThe hospitals that file a MultiPlan 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 2 | $201 | $201 | $10 | 5% | — | $191 – $211 |
| 8 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 9 | KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN Honolulu, HI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 10 | KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN Honolulu, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 11 | PALI MOMI MEDICAL CENTER Aiea, HI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 12 | PALI MOMI MEDICAL CENTER Aiea, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 13 | STRAUB CLINIC & HOSPITAL Honolulu, HI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 14 | STRAUB CLINIC & HOSPITAL Honolulu, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 15 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · inpatientfrom % of charges | 1 | $74 | $73 | $18 | 25% | — | $46 – $96 |
| 16 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $73 | $18 | 25% | — | $46 – $96 |
| 17 | UCHealth Estes Valley Medical Center Estes Park, CO fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 18 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 19 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 20 | UPMC Kane Kane, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $31 | $30 | $9 | 28% | — | $20 – $41 |
| 21 | UPMC Kane Kane, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $30 | $9 | 28% | — | $20 – $41 |
| 22 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX facility · percent of total billed charges · bothfrom % of charges | 3 | $55 | $68 | $38 | 56% | — | $27 – $121 |
← Payers reporting HCPCS A4463 · Snapshot 20261111T120946Z-9134e7f7