Low
$235
Average
$235
Median
$235
High
$235
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6 hospital rates
iThe hospitals that file a Phcs 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 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · inpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 2 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · outpatient | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 3 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · inpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 4 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · outpatient | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 5 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · inpatient | 1 | $254 | $254 | — | — | — | $254 – $254 |
| 6 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · outpatient | 1 | $216 | $216 | — | — | — | $216 – $216 |
← Payers reporting HCPCS C9057 · Snapshot 20261112T181611Z-3fa9fb76