Low
$664
Average
$664
Median
$664
High
$664
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2 hospital rates
iThe hospitals that file a Medicaid 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 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $664 | $664 | — | — | — | $664 – $664 |
| 2 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $664 | $664 | — | — | — | $664 – $664 |
← Payers reporting HCPCS D4212 · Snapshot 20261111T120946Z-9134e7f7