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
In111 capromab
Low
$1
Average
$5.0k
Median
$2.5k
High
$24.0k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 12.1× 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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23 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 DELANO Delano, CA fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 4 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 7 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 8 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 10 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $4.7k | $4.7k | $140 | 3% | — | $4.6k – $4.9k |
| 11 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 14 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $17.0k | $17.0k | — | — | — | $17.0k – $17.0k |
| 18 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 19 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
| 21 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 22 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
← Payers reporting HCPCS A9507 · Snapshot 20261112T124536Z-e251e855