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 RX IP 250 OP 636
Low
$20
Average
$108
Median
$20
High
$974
Each hospital's average First Health rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 1.5× 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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19 hospital rates
iThe hospitals that file a First Health 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 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 7 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Fairview Health Services Wyoming, MN percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Fairview Health Services Princeton, MN percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 12 | Fairview Health Services Princeton, MN percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX percent of total billed charges · outpatientfrom % of charges | 1 | $974 | $974 | — | — | — | $974 – $974 |
| 14 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 18 | Missouri Baptist Medical Center Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Missouri Baptist Sullivan Hospital Sullivan, MO percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
← Payers reporting HCPCS C9300 · Snapshot 20261113T090226Z-3ce6c0b8