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
$10
Average
$87
Median
$93
High
$217
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
322 hospitals; the 90th percentile is 5.2× 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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418 hospital rates
iThe hospitals that file a WellCare 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 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 3 | $45 | $64 | $27 | 42% | 23 | $45 – $102 |
| 2 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | 20 | $22 – $22 |
| 3 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 2 | $34 | $34 | $11 | 32% | 2–20 | $23 – $45 |
| 4 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 5 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 1 | $136 | $136 | — | — | 1–10 | $136 – $136 |
| 6 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · outpatient | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 7 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 8 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $29 | $29 | — | — | 1–10 | $29 – $29 |
| 9 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 10 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 11 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | — | — | 1–10 | $72 – $72 |
| 12 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $110 | $110 | $3 | 2% | — | $107 – $112 |
| 13 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 2 | $61 | $61 | $3 | 5% | — | $58 – $64 |
| 14 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 15 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 16 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $25 | $25 | $1 | 5% | — | $24 – $26 |
| 17 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 18 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 19 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 20 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 21 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 22 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 23 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 24 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $13 | $13 | $3 | 20% | — | $10 – $15 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7