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
Co57/58
Low
$1
Average
$284
Median
$120
High
$1.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 89.0× 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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32 hospital rates
iThe hospitals that file a Molina 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $476 | $476 | $0 | 0% | — | $476 – $477 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $358 | $370 | $46 | 12% | — | $328 – $437 |
| 5 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 6 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 10 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 11 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 13 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 15 | HCA FLORIDA GULF COAST HOSPITAL PANAMA CITY BEACH, FL percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $1.8k | $454 | 25% | — | $1.3k – $2.2k |
| 16 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 17 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 18 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 19 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 20 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 21 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 22 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 23 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 24 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 25 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
← Payers reporting HCPCS A9546 · Snapshot 20261112T124536Z-e251e855