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
$21
Average
$84
Median
$100
High
$115
Each hospital's average Clover rate, under the methodology and billing class chosen below.
62 hospitals; the 90th percentile is 4.7× 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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72 hospital rates
iThe hospitals that file a Clover 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 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 3 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 4 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 6 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 7 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 8 | Conway Hospital, Inc. Conway, SC facility · fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 9 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $25 | $25 | $1 | 5% | — | $24 – $26 |
| 10 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 11 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 12 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 13 | EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 14 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 2 | $98 | $98 | — | — | — | $98 – $98 |
| 15 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 16 | Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 17 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 18 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $27 | $27 | $1 | 5% | — | $26 – $28 |
| 19 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · outpatient | 2 | $98 | $98 | — | — | — | $98 – $98 |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 21 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 22 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 23 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 24 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 25 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7