HCPCS D6049
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
Scale implt peri-implt inflm
Low
$37
Average
$103
Median
$64
High
$209
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29 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 5 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 6 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 7 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 11 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 12 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 13 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 2 | $180 | $180 | $4 | 2% | — | $176 – $185 |
| 14 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 15 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 16 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $185 | $185 | — | — | — | $185 – $185 |
| 18 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 19 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 20 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 21 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 22 | Nebraska Medical Center Omaha, NE fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 23 | Nebraska Medical Center Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
| 25 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · case rate · outpatient | 1 | $209 | $209 | — | — | — | $209 – $209 |
← Payers reporting HCPCS D6049 · Snapshot 20261113T090226Z-3ce6c0b8