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
NAV SRV PEER SUP 60 MIN PR M
Low
$41
Average
$159
Median
$154
High
$286
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 3.5× 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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125 hospital rates
iThe hospitals that file a Ambetter 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 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 2 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 3 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 4 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 5 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 6 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 7 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 8 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 9 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 10 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 11 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 12 | Baptist Medical Center of Nassau, INC Yulee, FL facility · fee schedule · outpatient | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 13 | Baptist Medical Center of the Beaches, INC Beach, FL facility · fee schedule · outpatient | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 14 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 2 | $209 | $209 | — | — | — | $209 – $209 |
| 15 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 2 | $223 | $223 | $14 | 6% | — | $209 – $237 |
| 16 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 17 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 18 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $245 | $245 | — | — | — | $245 – $245 |
| 19 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 20 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 21 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 22 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $216 | $216 | — | — | — | $216 – $216 |
| 23 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 24 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 25 | EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient | 1 | $216 | $216 | — | — | — | $216 – $216 |
← Payers reporting HCPCS G0140 · Snapshot 20261111T120946Z-9134e7f7