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
Resp Fcn/Strengh 2/> Indiv
Low
$34
Average
$169
Median
$134
High
$763
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 7.2× 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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46 hospital rates
iThe hospitals that file a Carefirst 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 2 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $140 | $142 | $5 | 3% | — | $138 – $150 |
| 3 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · outpatient | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 5 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $163 | $163 | $2 | 1% | — | $161 – $164 |
| 6 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $163 | $163 | $2 | 1% | — | $161 – $164 |
| 7 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $163 | $163 | $2 | 1% | — | $161 – $164 |
| 8 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $163 | $163 | $2 | 1% | — | $161 – $164 |
| 9 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $163 | $163 | $2 | 1% | — | $161 – $164 |
| 10 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 11 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $275 | $275 | — | — | — | $275 – $275 |
| 12 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 3 | $247 | $247 | — | — | — | $247 – $247 |
| 13 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 3 | $326 | $326 | — | — | — | $326 – $326 |
| 14 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 3 | $217 | $217 | — | — | — | $217 – $217 |
| 15 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 3 | $195 | $195 | — | — | — | $195 – $195 |
| 16 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 17 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 18 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 19 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 20 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 21 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 22 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 23 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 24 | Plymouth Medical Center Plymouth, IN facility · other · both | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 25 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $185 | $185 | $9 | 5% | — | $175 – $194 |
← Payers reporting HCPCS G0239 · Snapshot 20261111T120946Z-9134e7f7