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
$38
Average
$88
Median
$92
High
$188
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 3.2× 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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34 hospital rates
iThe hospitals that file a Caresource 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 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $77 | $77 | $25 | 32% | — | $52 – $102 |
| 3 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 4 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 5 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 2 | $57 | $57 | $11 | 20% | — | $46 – $69 |
| 6 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $66 | $66 | $12 | 18% | — | $54 – $78 |
| 8 | Greenfield Area Medical Center Greenfield, OH facility · case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 9 | Jennie Stuart Medical Center Hopkinsville, KY facility · case rate · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 10 | Jennie Stuart Medical Center Hopkinsville, KY professional · fee schedule · both | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 11 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 2 | $52 | $52 | $6 | 11% | — | $46 – $57 |
| 12 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 2 | $36 | $36 | $4 | 11% | — | $32 – $40 |
| 13 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 14 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 15 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 16 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 17 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC fee schedule · both | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 18 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC fee schedule · both | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 19 | PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC fee schedule · both | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 20 | PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC fee schedule · both | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 21 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 22 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 23 | Pike Health Services Inc Waverly, OH facility · case rate · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 24 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 25 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
← Payers reporting HCPCS G0146 · Snapshot 20261111T120946Z-9134e7f7