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
Adm iv chemo 1st home visit
Low
$43
Average
$309
Median
$319
High
$526
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 2.0× 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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26 hospital rates
iThe hospitals that file a Anthem 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 2 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $225 | $225 | — | — | — | $225 – $225 |
| 3 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $368 | $368 | — | — | — | $368 – $368 |
| 4 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $225 | $225 | — | — | — | $225 – $225 |
| 5 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $225 | $225 | — | — | — | $225 – $225 |
| 6 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 2 | $225 | $225 | — | — | — | $225 – $225 |
| 7 | MaineHealth Brunswick, ME fee schedule · both | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 8 | MaineHealth Rockport, ME fee schedule · both | 1 | $271 | $271 | — | — | — | $271 – $271 |
| 9 | MaineHealth Westbrook, ME fee schedule · both | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 10 | MaineHealth Damariscotta, ME fee schedule · both | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 11 | MaineHealth North Conway, NH fee schedule · both | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 12 | MaineHealth Belfast, ME fee schedule · both | 2 | $354 | $354 | $6 | 2% | — | $347 – $360 |
| 13 | MaineHealth Farmington, ME fee schedule · both | 2 | $359 | $359 | $40 | 11% | — | $319 – $399 |
| 14 | MaineHealth Portland, ME fee schedule · both | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 15 | MaineHealth Biddeford, ME fee schedule · both | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 16 | MaineHealth Norway, ME fee schedule · both | 2 | $354 | $354 | $6 | 2% | — | $347 – $360 |
| 17 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 5 | $474 | $526 | $161 | 31% | — | $344 – $826 |
| 18 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 19 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 2 | $225 | $225 | — | — | — | $225 – $225 |
| 20 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 21 | SCL HEALTH - MONTANA, DBA INTERMOUNTAIN HEALTH ST. VINCENT HEALTHCARE Billings, MT facility · fee schedule · outpatient | 6 | $405 | $370 | $49 | 13% | — | $301 – $405 |
| 22 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 2 | $225 | $225 | — | — | — | $225 – $225 |
| 23 | St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL Butte, MT facility · fee schedule · outpatient | 5 | $405 | $405 | — | — | — | $405 – $405 |
| 24 | The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient | 2 | $225 | $225 | — | — | — | $225 – $225 |
| 25 | The New London Hospital Association, Inc. London, NH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
← Payers reporting HCPCS G0090 · Snapshot 20261112T124536Z-e251e855