Low
$123
Average
$123
Median
$123
High
$123
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2 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 | MID COLUMBIA MEDICAL CENTER Dalles, OR fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 2 | MID COLUMBIA MEDICAL CENTER Dalles, OR percent of total billed charges · outpatientfrom % of charges | 2 | $122 | $122 | — | — | — | $122 – $122 |
← Payers reporting HCPCS D0001 · Snapshot 20261113T090226Z-3ce6c0b8