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
HC Kt Orth Merit Sm Fnl Fngr Flxn
Low
$0
Average
$17
Median
$9
High
$211
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 2800.0× 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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36 hospital rates
iThe hospitals that file a WellCare 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 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Calais Community Hospital Calais, ME percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $18 | $6 | 32% | — | $10 – $26 |
| 5 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Carolinas Medical Center Davidson, NC fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 19 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 20 | Jennie Stuart Medical Center Hopkinsville, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Novant Health Thomasville Medical Center, LLC Thomasville, NC fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 22 | Ochsner American Legion Hospital, LLC Jennings, LA other · outpatient | 1 | $198 | $211 | $58 | 28% | — | $152 – $294 |
| 23 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | $0 | 10% | — | $1 – $2 |
| 24 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | $0 | 12% | — | $1 – $1 |
| 25 | Springfield Hospital Springfield, VT fee schedule · outpatient | 1 | $2 | $2 | $0 | 20% | — | $2 – $3 |
← Payers reporting HCPCS A4570 · Snapshot 20261111T120946Z-9134e7f7