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
$273
Median
$280
High
$2.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 13.4× 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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116 hospital rates
iThe hospitals that file a WellCare 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 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 2 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $104 | $104 | — | — | 1–10 | $104 – $104 |
| 3 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 4 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 5 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 6 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $388 | $388 | $92 | 24% | — | $296 – $480 |
| 7 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $310 | $310 | $73 | 24% | — | $236 – $383 |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $411 | $411 | $97 | 24% | — | $314 – $508 |
| 9 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 10 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 11 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 12 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 13 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 14 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $324 | $393 | $119 | 30% | — | $294 – $561 |
| 15 | Campbell County HMA, LLC LaFollette, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 16 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $599 | $599 | $142 | 24% | — | $457 – $741 |
| 17 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $599 | $599 | $142 | 24% | — | $457 – $741 |
| 18 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $599 | $599 | $142 | 24% | — | $457 – $741 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $599 | $599 | $142 | 24% | — | $457 – $741 |
| 20 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $596 | $596 | — | — | — | $596 – $596 |
| 21 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 22 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 23 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $596 | $596 | — | — | — | $596 – $596 |
| 24 | Duplin General Hospital, Inc. Kenansville, NC percent of total billed charges · bothfrom % of charges | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 25 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
← Payers reporting HCPCS A9558 · Snapshot 20261111T120946Z-9134e7f7