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
$25
Average
$366
Median
$222
High
$1.1k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 8.7× 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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54 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 14 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 15 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 16 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 17 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 18 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · inpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 19 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 20 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA percent of total billed charges · outpatientfrom % of charges | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 21 | Kemper CAH, Inc. DeKalb, MS other · inpatient | 1 | $330 | $330 | — | — | — | $330 – $330 |
| 22 | Kemper CAH, Inc. DeKalb, MS percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 23 | Laird Hospital, Inc. Union, MS other · inpatient | 1 | $330 | $330 | — | — | — | $330 – $330 |
| 24 | Laird Hospital, Inc. Union, MS percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 25 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $223 | $223 | — | — | — | $223 – $223 |
← Payers reporting HCPCS A7042 · Snapshot 20261112T181611Z-3fa9fb76