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
Fee Schedule
Low
$12
Average
$133
Median
$23
High
$738
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 18.2× 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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29 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 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $271 | $273 | $3 | 1% | — | $271 – $277 |
| 2 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $21 | $21 | $3 | 13% | — | $18 – $24 |
| 3 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | $3 | 13% | — | $18 – $24 |
| 4 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 6 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Deaconess Illinois Red Bud Regional Hospital Inc Red Bud, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | $2 | 9% | — | $25 – $30 |
| 9 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $21 | $3 | 13% | — | $19 – $24 |
| 10 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $21 | $3 | 13% | — | $19 – $24 |
| 11 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $23 | $23 | $3 | 13% | — | $20 – $27 |
| 12 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $23 | $3 | 13% | — | $20 – $27 |
| 13 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $163 | $163 | — | — | — | $163 – $163 |
| 14 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | HCA FLORIDA SOUTH SHORE HOSPITAL APOLLO BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $738 | $738 | $46 | 6% | — | $692 – $784 |
| 16 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 3 | $373 | $359 | $37 | 10% | — | $307 – $395 |
| 17 | HCA HEALTHONE SOUTHWEST ER LITTLETON, CO percent of total billed charges · outpatientfrom % of charges | 3 | $373 | $359 | $37 | 10% | — | $307 – $395 |
| 18 | HCA HEALTHONE SWEDISH Englewood, CO percent of total billed charges · outpatientfrom % of charges | 3 | $373 | $359 | $37 | 10% | — | $307 – $395 |
| 19 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 20 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $21 | $3 | 15% | — | $17 – $25 |
| 21 | IOM Health System LP Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $21 | $3 | 15% | — | $17 – $25 |
| 22 | LEE MEMORIAL HOSPITAL FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 23 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $19 | $19 | $3 | 15% | — | $16 – $23 |
| 24 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $19 | $19 | $3 | 15% | — | $16 – $23 |
| 25 | MENORAH MEDICAL CENTER Overland Park, KS percent of total billed charges · outpatientfrom % of charges | 2 | $367 | $367 | $14 | 4% | — | $352 – $381 |
← Payers reporting HCPCS A4466 · Snapshot 20261113T090226Z-3ce6c0b8