Low
$432
Average
$7.0k
Median
$7.4k
High
$12.7k
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4 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 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 2 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · fee schedule · outpatient | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 3 | United Memorial Medical Center Batavia, NY facility · fee schedule · outpatient | 1 | $432 | $432 | — | — | — | $432 – $432 |
| 4 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 1 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
← Payers reporting HCPCS C9484 · Snapshot 20261111T120946Z-9134e7f7