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
Fee Schedule
Low
$13
Average
$2.9k
Median
$4.1k
High
$8.2k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 27.8× 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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56 hospital rates
iThe hospitals that file a Humana 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 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · case rate · outpatient | 2 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 2 | Baptist Memorial Hospital-Collierville Collierville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $218 | $218 | $9 | 4% | — | $210 – $227 |
| 3 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $218 | $218 | $9 | 4% | — | $210 – $227 |
| 4 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 5 | Baptist Memorial Hospital-DeSoto Southaven, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $206 | $206 | $4 | 2% | — | $202 – $210 |
| 6 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $484 | $484 | — | — | — | $484 – $484 |
| 7 | Baptist Memorial Hospital-Golden Triangle Columbus, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $484 | $484 | — | — | — | $484 – $484 |
| 8 | Baptist Memorial Hospital-Memphis Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $218 | $218 | $9 | 4% | — | $210 – $227 |
| 9 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · percent of total billed charges · inpatientfrom % of charges | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 10 | Baptist Memorial Hospital-NEA Jonesboro, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 11 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 12 | Baptist Memorial Hospital-North Mississippi Oxford, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 13 | Baptist Memorial Hospital-Tipton Covington, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 14 | Baptist Memorial Hospital-Union City Union City, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $256 | $256 | — | — | — | $256 – $256 |
| 15 | Baptist Memorial Hospital-Union City Union City, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $256 | $256 | — | — | — | $256 – $256 |
| 16 | Baptist Memorial Hospital-Women's Memphis, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $218 | $218 | $9 | 4% | — | $210 – $227 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 1 | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 1 | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 20 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 22 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 6 | $6 | $1.4k | $2.0k | 141% | — | $4 – $4.5k |
| 23 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · case rate · outpatient | 2 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 24 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 25 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX case rate · outpatient | 2 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
← Payers reporting HCPCS G0364 · Snapshot 20261112T124536Z-e251e855