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
$1
Average
$46
Median
$24
High
$153
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 19.4× 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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43 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $87 | $87 | $25 | 28% | — | $62 – $111 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $87 | $87 | $25 | 28% | — | $62 – $111 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 6 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 7 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 8 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 12 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 14 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $62 | $78 | $23 | 29% | — | $62 – $111 |
| 15 | Mercy Hospital Fort Smith Smith, AR facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | Mercy Hospital Fort Smith Smith, AR facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 17 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $9 | $7 | 74% | — | $4 – $18 |
| 18 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 19 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $9 | $7 | 74% | — | $4 – $18 |
| 20 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 21 | Mercy Hospital South Louis, MO facility · fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 22 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | Mercy Hospital Springfield Ozark, MO facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | Mercy Hospital Springfield Springfield, MO facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | North Memorial Health Care Robbinsdale, MN professional · fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7