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
$24
Average
$169
Median
$132
High
$419
Each hospital's average Premera rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 6.6× 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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47 hospital rates
iThe hospitals that file a Premera 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $404 | $404 | — | — | 1–10 | $404 – $404 |
| 2 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $104 | $101 | $4 | 4% | — | $94 – $104 |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $86 | $35 | 40% | — | $45 – $129 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $329 | $303 | $98 | 32% | — | $142 – $409 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 10 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $329 | $303 | $98 | 32% | — | $142 – $409 |
| 11 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 13 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 17 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $329 | $303 | $98 | 32% | — | $142 – $409 |
| 18 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $234 | $211 | $40 | 19% | — | $142 – $234 |
| 19 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $329 | $303 | $98 | 32% | — | $142 – $409 |
| 20 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $259 | $229 | $53 | 23% | — | $138 – $259 |
| 21 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $236 | $210 | $44 | 21% | — | $134 – $236 |
| 22 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $298 | $291 | $10 | 3% | — | $277 – $298 |
| 23 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 24 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 2 | $112 | $97 | $37 | 38% | — | $38 – $127 |
| 25 | Saint Alphonsus Medical Center - Baker City Baker City, OR professional · fee schedule · inpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7