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 ADD 30 PR M
Low
$26
Average
$62
Median
$47
High
$118
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 3.0× 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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47 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 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 3 | $62 | $67 | $7 | 11% | — | $62 – $77 |
| 5 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 6 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 7 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $41 | $41 | $8 | 18% | — | $33 – $49 |
| 9 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 10 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 11 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 12 | Laird Hospital, Inc. Union, MS fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 13 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 14 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 15 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 3 | $95 | $92 | $42 | 46% | — | $35 – $162 |
| 16 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 17 | Rush Medical Foundation Meridian, MS fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 18 | Rush Medical Foundation Quitman, MS fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 19 | SID Peterson Memorial Hospital Kerrville, TX facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 20 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 1 | $112 | $112 | $20 | 17% | — | $92 – $132 |
| 21 | Scott Regional Medical Center, Inc. Morton, MS fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 22 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 23 | The Medical Center of Peach County Inc Byron, GA fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 24 | The New London Hospital Association, Inc. London, NH professional · fee schedule · outpatient | 1 | $54 | $54 | $10 | 19% | — | $44 – $64 |
| 25 | The University of Kansas Health System Great Bend Campus Bend, KS fee schedule · both | 1 | $29 | $29 | — | — | — | $29 – $29 |
← Payers reporting HCPCS G0146 · Snapshot 20261111T120946Z-9134e7f7