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
$96
Median
$114
High
$160
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 5.0× 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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31 hospital rates
iThe hospitals that file a Magellan 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 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 2 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 3 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 4 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 5 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 8 | Holyoke Medical Center Holyoke, MA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $121 | $121 | — | — | — | $121 – $121 |
| 9 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $278 | $278 | — | — | — | $278 – $278 |
| 10 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | Lovelace Health System, LLC Albuquerque, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 12 | Lovelace Health System, LLC Albuquerque, NM facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Saint Alphonsus Medical Center - Baker City Baker City, OR professional · fee schedule · inpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | Saint Alphonsus Medical Center - Baker City Baker City, OR professional · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 18 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 19 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 20 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 21 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 22 | St. Joseph's Mercy Hospital, Centerville Centerville, IA professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 24 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 25 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | — | $114 – $114 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7