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
$18
Average
$84
Median
$63
High
$231
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 11.0× 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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56 hospital rates
iThe hospitals that file a MultiPlan 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 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 2 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 3 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 4 | DIGNITY HEALTH Phoenix, AZ fee schedule · inpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 5 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 6 | DIGNITY HEALTH Merced, CA fee schedule · inpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 7 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 8 | Deaconess Health System Henderson Hospital Henderson, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 9 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 10 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Grady Memorial Hospital Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 12 | Laird Hospital, Inc. Union, MS percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 13 | MaineHealth Brunswick, ME fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 14 | MaineHealth Rockport, ME fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 15 | MaineHealth Damariscotta, ME fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 16 | MaineHealth North Conway, NH fee schedule · both | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 17 | MaineHealth Belfast, ME fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 18 | MaineHealth Farmington, ME fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 19 | MaineHealth Portland, ME fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 20 | MaineHealth Biddeford, ME fee schedule · both | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 21 | MaineHealth Norway, ME fee schedule · both | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 22 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $121 | $121 | $23 | 19% | — | $98 – $144 |
| 23 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 47 | $18 | $18 | — | — | — | $18 – $18 |
| 24 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 47 | $18 | $18 | — | — | — | $18 – $18 |
| 25 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 47 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting HCPCS G0146 · Snapshot 20261111T120946Z-9134e7f7