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
$97
Average
$113
Median
$110
High
$136
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12 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 | $136 | $136 | — | — | — | $136 – $136 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $88 | $88 | $15 | 17% | — | $59 – $103 |
| 4 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 5 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 6 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 7 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 2 | $88 | $94 | $7 | 8% | — | $88 – $103 |
| 8 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 11 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient | 3 | $88 | $88 | $15 | 17% | — | $59 – $103 |
| 12 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 3 | $88 | $87 | $18 | 20% | — | $50 – $103 |
← Payers reporting HCPCS G0249 · Snapshot 20261111T120946Z-9134e7f7