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
facility
Low
$1
Average
$3.1k
Median
$1.0k
High
$13.4k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 7758.5× 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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31 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 DELANO Delano, CA fee schedule · outpatient | 1 | $303 | $303 | $122 | 40% | — | $181 – $424 |
| 2 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $3.5k | $3.5k | $431 | 12% | — | $3.1k – $4.0k |
| 3 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $526 | $526 | $345 | 66% | — | $181 – $870 |
| 4 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 9 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $3.4k | $4.0k | $4.1k | 102% | — | $23 – $9.4k |
| 10 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 11 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $10.1k | $9.1k | $3.4k | 37% | — | $469 – $11.2k |
| 12 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $816 | $816 | — | — | — | $816 – $816 |
| 13 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 14 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 15 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | $123 | 6% | — | $1.9k – $2.3k |
| 16 | North Oaks Medical Center Drive. Hammond, LA fee schedule · both | 1 | $872 | $872 | — | — | — | $872 – $872 |
| 17 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 18 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 19 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA fee schedule · outpatient | 1 | $389 | $389 | — | — | — | $389 – $389 |
| 20 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $244 | $492 | $425 | 86% | — | $25 – $1.0k |
| 21 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.5k | $1.1k | 72% | — | $321 – $3.2k |
| 22 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.0k | $739 | 72% | — | $219 – $2.2k |
| 23 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · inpatientfrom % of charges | 1 | $6.8k | $5.7k | $3.5k | 62% | — | $17 – $9.1k |
| 24 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · outpatientfrom % of charges | 1 | $7.0k | $6.1k | $4.7k | 78% | — | $45 – $11.6k |
| 25 | Sharp Coronado Hospital and Healthcare Center Coronado, CA percent of total billed charges · inpatientfrom % of charges | 1 | $11.6k | $11.9k | $392 | 3% | — | $11.6k – $12.5k |
← Payers reporting HCPCS C2629 · Snapshot 20261111T120946Z-9134e7f7