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
Tte w or w/o fol w/cont f/u
Low
$1
Average
$514
Median
$405
High
$1.7k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 2.6× 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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30 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $563 | $563 | — | — | — | $563 – $563 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 3 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $737 | $737 | — | — | — | $737 – $737 |
| 4 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $737 | $737 | — | — | — | $737 – $737 |
| 6 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $737 | $737 | — | — | — | $737 – $737 |
| 7 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $312 | $312 | $15 | 5% | — | $298 – $327 |
| 8 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $312 | $312 | $15 | 5% | — | $298 – $327 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $801 | $801 | — | — | — | $801 – $801 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 11 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $303 | $303 | $14 | 5% | — | $288 – $317 |
| 12 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $789 | $789 | — | — | — | $789 – $789 |
| 13 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $303 | $303 | $14 | 5% | — | $288 – $317 |
| 14 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $303 | $303 | $14 | 5% | — | $288 – $317 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 16 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · other · outpatient | 1 | $789 | $789 | — | — | — | $789 – $789 |
| 17 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · per diem · outpatient | 1 | $607 | $607 | — | — | — | $607 – $607 |
| 18 | MARINERS HOSPITAL TAVERNIER, FL fee schedule · both | 2 | $303 | $303 | $14 | 5% | — | $288 – $317 |
| 19 | NYU Langone New York, NY case rate · both | 15 | $449 | $449 | — | — | — | $449 – $449 |
| 20 | NYU Langone Mineola, NY case rate · both | 15 | $405 | $405 | — | — | — | $405 – $405 |
| 21 | NYU Langone Brooklyn, NY case rate · both | 15 | $446 | $446 | — | — | — | $446 – $446 |
| 22 | NYU Langone New York, NY case rate · both | 15 | $449 | $449 | — | — | — | $449 – $449 |
| 23 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · both | 15 | $399 | $399 | — | — | — | $399 – $399 |
| 24 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | SOUTH MIAMI HOSPITAL Weston, FL fee schedule · both | 2 | $303 | $303 | $14 | 5% | — | $288 – $317 |
← Payers reporting HCPCS C8922 · Snapshot 20261111T120946Z-9134e7f7