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
HC 2d Tte W or W/O Fol W/Contrast, F/U
Low
$1
Average
$494
Median
$391
High
$8.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
488 hospitals; the 90th percentile is 2.5× 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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607 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 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $334 | $301 | $108 | 36% | 2–20 | $155 – $414 |
| 2 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $435 | $388 | $57 | 15% | 2–20 | $318 – $435 |
| 3 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $405 | $405 | — | — | 1–10 | $405 – $405 |
| 4 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $504 | $504 | — | — | 1–10 | $504 – $504 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $256 | $256 | — | — | 1–10 | $256 – $256 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $256 | $256 | — | — | 1–10 | $256 – $256 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $256 | $256 | — | — | 1–10 | $256 – $256 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | — | — | 1–10 | $228 – $228 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $313 | $313 | — | — | 1–10 | $313 – $313 |
| 10 | Greenfield Area Medical Center Greenfield, OH facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 11 | Las Cruces Medical Center LLC Las Cruces, NM facility · other · outpatient | 1 | $829 | $829 | — | — | 1–10 | $829 – $829 |
| 12 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 3 | $365 | $349 | $117 | 34% | 1–10 | $199 – $484 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $341 | $330 | $104 | 31% | 1–10 | $199 – $452 |
| 14 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $340 | $340 | — | — | 1–10 | $340 – $340 |
| 15 | PeaceHealth Peace Island Medical Center Friday Harbor, WA facility · other · outpatient | 1 | $318 | $318 | — | — | 1–10 | $318 – $318 |
| 16 | Pike Health Services Inc Waverly, OH facility · other · outpatient | 1 | $568 | $568 | — | — | 1–10 | $568 – $568 |
| 17 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $677 | $677 | — | — | 1–10 | $677 – $677 |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 2 | $635 | $635 | $254 | 40% | 1–10 | $380 – $889 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 2 | $635 | $635 | $254 | 40% | 1–10 | $380 – $889 |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 3 | $342 | $331 | $104 | 31% | 1–10 | $199 – $454 |
| 21 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | 1–10 | $315 – $315 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $310 | $310 | — | — | — | $310 – $310 |
| 23 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 24 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 25 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
← Payers reporting HCPCS C8924 · Snapshot 20261111T120946Z-9134e7f7