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
$38
Average
$134
Median
$133
High
$302
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
258 hospitals; the 90th percentile is 2.3× 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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296 hospital rates
iThe hospitals that file a WellCare 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 Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | 1–10 | $42 – $42 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 2 | $82 | $82 | $21 | 26% | 1–10 | $60 – $103 |
| 4 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $144 | $144 | $3 | 2% | — | $141 – $147 |
| 5 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 6 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 7 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 8 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 9 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 10 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 11 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 12 | Adventhealth Zephyrhills Zephyrhills, FL fee schedule · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 13 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 14 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 15 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 16 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 17 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 18 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 19 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 20 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
← Payers reporting HCPCS G0249 · Snapshot 20261111T120946Z-9134e7f7