Low
$423
Average
$423
Median
$423
High
$423
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1 hospital rate
iThe hospitals that file a Ambetter 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 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $423 | $423 | — | — | 6–60 | $423 – $423 |
← Payers reporting HCPCS A6504 · Snapshot 20261111T120946Z-9134e7f7