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
FCP OPTH WATZKE SS TI SLV SPRD NS REUS
Low
$7
Average
$1.0k
Median
$300
High
$4.7k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 70.3× 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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76 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $538 | $538 | — | — | — | $538 – $538 |
| 2 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | $155 | 87% | — | $23 – $333 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | $64 | 87% | — | $10 – $138 |
| 4 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | $51 | 87% | — | $8 – $111 |
| 5 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | $68 | 87% | — | $10 – $147 |
| 6 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 7 | CATHOLIC MEDICAL CENTER MANCHESTER, NH percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | $99 | 87% | — | $15 – $214 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | $99 | 87% | — | $15 – $214 |
| 10 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | $99 | 87% | — | $15 – $214 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | $99 | 87% | — | $15 – $214 |
| 12 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 13 | Children's Hospital of the King's Daughters Norfolk, VA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $394 | $394 | — | — | — | $394 – $394 |
| 14 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 15 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $191 | $373 | $400 | 107% | — | $48 – $1.6k |
| 16 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 17 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $573 | $573 | — | — | — | $573 – $573 |
| 18 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 19 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 20 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $152 | $309 | $359 | 116% | — | $37 – $1.6k |
| 21 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $111 | $249 | $303 | 121% | — | $27 – $1.4k |
| 22 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $503 | $503 | — | — | — | $503 – $503 |
| 24 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 25 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $69 | $41 | 60% | — | $40 – $189 |
← Payers reporting HCPCS C1784 · Snapshot 20261111T120946Z-9134e7f7