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
HC Xe133 Dx per 10mci
Low
$0
Average
$168
Median
$114
High
$795
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
81 hospitals; the 90th percentile is 11.1× 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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92 hospital rates
iThe hospitals that file a Caresource 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 | $108 | $108 | — | — | — | $108 – $108 |
| 2 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 3 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 4 | Baptist Health - Fort Smith Smith, AR fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 5 | Baptist Health Medical Center - Conway Conway, AR fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 6 | Baptist Health Medical Center - Little Rock Rock, AR fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 7 | Baptist Health Medical Center - Magnolia Magnolia, AR fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Baptist Health Medical Center - North Little Rock Rock, AR fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 11 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 12 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 16 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 17 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 18 | East Georgia Regional Medical Center LLC Statesboro, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 20 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 21 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $51 | $51 | $2 | 3% | — | $49 – $52 |
| 22 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 23 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 24 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 25 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $529 | $529 | $16 | 3% | — | $513 – $545 |
← Payers reporting HCPCS A9558 · Snapshot 20261111T120946Z-9134e7f7