Low
$0
Average
$12
Median
$18
High
$18
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3 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 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting HCPCS A6217 · Snapshot 20261111T120946Z-9134e7f7