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
Hdr I192 Tx Source
Low
$83
Average
$793
Median
$662
High
$3.8k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 3.0× 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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73 hospital rates
iThe hospitals that file a Medical Mutual 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 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $488 | $488 | $79 | 16% | 2–20 | $410 – $567 |
| 2 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $938 | $938 | — | — | — | $938 – $938 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $681 | $681 | — | — | — | $681 – $681 |
| 5 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $681 | $603 | $135 | 22% | — | $370 – $681 |
| 6 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 7 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $410 | $410 | — | — | — | $410 – $410 |
| 8 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 9 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 10 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 11 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $689 | $689 | — | — | — | $689 – $689 |
| 12 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $365 | $365 | — | — | — | $365 – $365 |
| 13 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $938 | $938 | — | — | — | $938 – $938 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $371 | $371 | $45 | 12% | — | $326 – $416 |
| 15 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 16 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $692 | $692 | — | — | — | $692 – $692 |
| 17 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $839 | $839 | — | — | — | $839 – $839 |
| 19 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $342 | $342 | — | — | — | $342 – $342 |
| 20 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $938 | $938 | — | — | — | $938 – $938 |
| 21 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $648 | $648 | — | — | — | $648 – $648 |
| 22 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $648 | $648 | — | — | — | $648 – $648 |
| 23 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 1 | $810 | $810 | — | — | — | $810 – $810 |
| 24 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $581 | $581 | — | — | — | $581 – $581 |
| 25 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $476 | $475 | $61 | 13% | — | $398 – $548 |
← Payers reporting HCPCS C1717 · Snapshot 20261111T120946Z-9134e7f7