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
HC VISIT TO DETERM LDCT ELIG
Low
$11
Average
$127
Median
$107
High
$1.7k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
257 hospitals; the 90th percentile is 5.2× 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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440 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 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 5 | $68 | $51 | $21 | 42% | 59–86 | $23 – $68 |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $85 | $88 | $13 | 15% | 39–57 | $75 – $106 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $91 | $91 | $16 | 17% | 37 | $75 – $106 |
| 4 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 3 | $143 | $141 | $4 | 3% | 30–39 | $134 – $144 |
| 5 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | 11 | $62 – $62 |
| 6 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $85 | $85 | — | — | 4–40 | $85 – $85 |
| 7 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 4 | $96 | $93 | $37 | 40% | 3–30 | $38 – $143 |
| 8 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | 2–20 | $114 – $114 |
| 9 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 3 | $50 | $36 | $15 | 42% | 2–20 | $15 – $50 |
| 10 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $44 | $38 | $8 | 22% | 1–10 | $27 – $44 |
| 12 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | 1–10 | $72 – $72 |
| 13 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | 1–10 | $72 – $72 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 15 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $96 | $142 | $103 | 73% | — | $44 – $285 |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $211 | $211 | — | — | — | $211 – $211 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $62 | $61 | $30 | 49% | — | $22 – $96 |
| 19 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | $5 | 22% | — | $19 – $30 |
| 20 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 21 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $92 | $50 | 54% | — | $21 – $131 |
| 22 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 23 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $46 | $15 | 31% | — | $26 – $60 |
| 24 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $207 | $207 | $34 | 16% | — | $173 – $241 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $171 | $171 | $59 | 35% | — | $99 – $244 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7