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
Care man h v ext pt 75 m
Low
$0
Average
$174
Median
$195
High
$432
Each hospital's average Molina rate, under the methodology and billing class chosen below.
132 hospitals; the 90th percentile is 9.7× 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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143 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 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $432 | $432 | — | — | — | $432 – $432 |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $322 | $322 | $111 | 34% | — | $211 – $432 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $383 | $383 | $163 | 42% | — | $221 – $546 |
| 7 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 8 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $291 | $291 | $124 | 43% | — | $167 – $415 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $291 | $291 | $124 | 43% | — | $167 – $415 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $291 | $291 | $124 | 43% | — | $167 – $415 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $415 | $415 | — | — | — | $415 – $415 |
| 14 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 15 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 19 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 20 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 21 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 22 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 23 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 24 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 25 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 2 | $194 | $194 | — | — | — | $194 – $194 |
← Payers reporting HCPCS G0085 · Snapshot 20261112T124536Z-e251e855