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
$1
Average
$1.1k
Median
$512
High
$4.5k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
102 hospitals; the 90th percentile is 149.8× 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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129 hospital rates
iThe hospitals that file a Molina 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 | $176 | $176 | — | — | — | $176 – $176 |
| 2 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $266 | $307 | 115% | — | $61 – $795 |
| 3 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $556 | $521 | 94% | — | $128 – $1.4k |
| 4 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $917 | $917 | $115 | 13% | — | $776 – $1.1k |
| 5 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $576 | $628 | $346 | 55% | — | $248 – $1.1k |
| 6 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $917 | $917 | $115 | 13% | — | $776 – $1.1k |
| 7 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $576 | $628 | $346 | 55% | — | $248 – $1.1k |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 10 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 11 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $309 | $309 | — | — | — | $309 – $309 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 15 | Carthage Hospital, LLC Carthage, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $11 | $10 | $3 | 25% | — | $7 – $13 |
| 16 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $106 | $212 | $243 | 115% | — | $34 – $1.1k |
| 17 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 18 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | FLAGET HEALTHCARE, INC Bardstown, KY fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 21 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 22 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $517 | $517 | $487 | 94% | — | $30 – $1.0k |
| 23 | HCA FLORIDA POINCIANA HOSPITAL Kissimmee, FL percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.7k | $2.0k | 52% | — | $1.2k – $7.7k |
| 24 | Highland Hospital Rochester, NY fee schedule · outpatient | 2 | $25 | $27 | $17 | 66% | — | $8 – $74 |
| 25 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $59 | $133 | $169 | 128% | — | $14 – $731 |
← Payers reporting HCPCS C1784 · Snapshot 20261111T120946Z-9134e7f7