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
$89
Average
$286
Median
$212
High
$1.2k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
67 hospitals; the 90th percentile is 5.8× 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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90 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 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 9 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 10 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 11 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 13 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 14 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 15 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | — | — | — | $202 – $202 |
| 16 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $661 | $661 | — | — | — | $661 – $661 |
| 17 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $661 | $661 | — | — | — | $661 – $661 |
| 18 | HCA HEALTHONE AURORA Aurora, CO fee schedule · outpatient | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 19 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO fee schedule · outpatient | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 20 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO fee schedule · outpatient | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 21 | HCA HEALTHONE MOUNTAIN RIDGE Thornton, CO fee schedule · outpatient | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 22 | HCA HEALTHONE NORTHEAST ER THORNTON, CO fee schedule · outpatient | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 23 | HCA HEALTHONE PRESBYTERIAN ST LUKES Denver, CO fee schedule · outpatient | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 24 | HCA HEALTHONE ROSE Denver, CO fee schedule · outpatient | 2 | $212 | $212 | — | — | — | $212 – $212 |
| 25 | HCA HEALTHONE SKY RIDGE Lone Tree, CO fee schedule · outpatient | 2 | $212 | $212 | — | — | — | $212 – $212 |
← Payers reporting HCPCS G0249 · Snapshot 20261111T120946Z-9134e7f7