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
$11
Average
$291
Median
$104
High
$3.4k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 22.6× 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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37 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 CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $632 | $632 | — | — | — | $632 – $632 |
| 2 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 3 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 4 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 6 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 7 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $236 | $236 | — | — | — | $236 – $236 |
| 8 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 10 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 11 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 12 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $529 | $529 | $16 | 3% | — | $513 – $545 |
| 13 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 14 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $797 | $797 | — | — | — | $797 – $797 |
| 15 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 17 | MINDEN MEDICAL CENTER MINDEN, LA percent of total billed charges · bothfrom % of charges | 16 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Mercy Hospital Berryville Berryville, AR facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 22 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 23 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 24 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
← Payers reporting HCPCS A9558 · Snapshot 20261111T120946Z-9134e7f7