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
HC SUP RC 274 A4565
Low
$1
Average
$69
Median
$36
High
$576
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 25.6× 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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39 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 3 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $38 | $38 | $11 | 28% | — | $27 – $48 |
| 4 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $40 | $40 | $13 | 33% | — | $27 – $53 |
| 5 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 9 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 10 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 14 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $26 | $33 | $10 | 31% | — | $26 – $49 |
| 15 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $54 | $54 | $27 | 50% | — | $27 – $80 |
| 16 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | $58 | 81% | — | $14 – $129 |
| 17 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $13 | $12 | $1 | 6% | — | $11 – $13 |
| 18 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $23 | $25 | 110% | — | $1 – $75 |
| 19 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $49 | $16 | 33% | — | $33 – $75 |
| 20 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $59 | $13 | 22% | — | $40 – $75 |
| 21 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 22 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 23 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 24 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 25 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | $1 | 2% | — | $33 – $34 |
← Payers reporting HCPCS A4565 · Snapshot 20261111T120946Z-9134e7f7