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
PR Provision Test Material(S) and Equipment Home Inr
Low
$22
Average
$230
Median
$177
High
$4.8k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
198 hospitals; the 90th percentile is 3.8× 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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283 hospital rates
iThe hospitals that file a Anthem 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 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 6 | $154 | $149 | $19 | 13% | 534 | $115 – $178 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 5 | $231 | $203 | $45 | 22% | 245 | $115 – $231 |
| 3 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $94 | $97 | $29 | 30% | 114 | $60 – $140 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 6 | $191 | $172 | $37 | 21% | 6–60 | $115 – $209 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $88 | $80 | $16 | 20% | 1–10 | $59 – $103 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $317 | $272 | $106 | 39% | — | $126 – $373 |
| 8 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 3 | $125 | $128 | $13 | 10% | — | $114 – $146 |
| 9 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $87 | $87 | $31 | 36% | — | $55 – $118 |
| 10 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 11 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 12 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 3 | $332 | $292 | $120 | 41% | — | $129 – $415 |
| 13 | American Hospital Management Corporation Arcata, CA facility · case rate · outpatient | 2 | $573 | $573 | — | — | — | $573 – $573 |
| 14 | Aspirus Divine Savior Hospital Portage, WI fee schedule · outpatient | 2 | $551 | $551 | $419 | 76% | — | $132 – $970 |
| 15 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · outpatient | 2 | $551 | $551 | $419 | 76% | — | $132 – $970 |
| 16 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 2 | $207 | $207 | $69 | 33% | — | $138 – $276 |
| 17 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · outpatient | 2 | $551 | $551 | $419 | 76% | — | $132 – $970 |
| 18 | Aspirus Wausau Hospital Wausau, WI fee schedule · outpatient | 2 | $553 | $553 | $421 | 76% | — | $133 – $974 |
| 19 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · outpatient | 2 | $551 | $551 | $419 | 76% | — | $132 – $970 |
| 20 | Atrium Medical Center Middletown, OH fee schedule · outpatient | 3 | $290 | $292 | $90 | 31% | — | $183 – $403 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY other · outpatient | 1 | $471 | $471 | — | — | — | $471 – $471 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 6 | $173 | $153 | $46 | 30% | — | $54 – $182 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $471 | $471 | — | — | — | $471 – $471 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 1 | $471 | $471 | — | — | — | $471 – $471 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 1 | $471 | $471 | — | — | — | $471 – $471 |
← Payers reporting HCPCS G0249 · Snapshot 20261111T120946Z-9134e7f7