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
$0
Average
$88
Median
$80
High
$1.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
341 hospitals; the 90th percentile is 6.5× 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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461 hospital rates
iThe hospitals that file a Molina 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $107 | $107 | — | — | 15 | $107 – $107 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 2 | $185 | $185 | $74 | 40% | 13 | $111 – $259 |
| 3 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | $3 | 20% | 2–20 | $10 – $16 |
| 4 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 5 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 2 | $124 | $124 | $17 | 14% | 1–10 | $106 – $141 |
| 6 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 3 | $27 | $31 | $5 | 16% | 1–10 | $27 – $38 |
| 7 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 2 | $185 | $185 | $74 | 40% | 1–10 | $111 – $259 |
| 8 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 5 | $21 | $23 | $10 | 41% | 1–10 | $15 – $42 |
| 9 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $21 | $23 | $10 | 41% | 1–10 | $15 – $42 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 12 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 13 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 14 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 15 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 16 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 17 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $129 | $129 | $0 | 0% | — | $129 – $129 |
| 18 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $97 | $100 | $12 | 12% | — | $89 – $118 |
| 19 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 20 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $148 | $148 | $51 | 34% | — | $97 – $199 |
| 21 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 22 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 23 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 24 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 25 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7