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
$29
Average
$534
Median
$237
High
$1.4k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 5.9× 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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17 hospital rates
iThe hospitals that file a First Health 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 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $237 | $237 | $210 | 88% | — | $28 – $447 |
| 2 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $237 | $237 | $210 | 88% | — | $28 – $447 |
| 3 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $221 | $221 | $195 | 88% | — | $26 – $416 |
| 5 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $221 | $221 | $195 | 88% | — | $26 – $416 |
| 6 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $806 | $806 | — | — | — | $806 – $806 |
| 7 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 9 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $213 | $213 | $188 | 88% | — | $25 – $400 |
| 10 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $213 | $213 | $188 | 88% | — | $25 – $400 |
| 11 | NewYork-Presbyterian Columbia University Irving Medical Center|NewYork-Presbyterian Weill Cornell Medical Center|NewYork-Presbyterian Brooklyn Methodist Hospital Brooklyn, NY percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $41 | 3% | — | $1.2k – $1.3k |
| 12 | St. Joseph Health System, LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $207 | $207 | $183 | 88% | — | $24 – $390 |
| 13 | St. Joseph Health System, LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | $183 | 88% | — | $24 – $390 |
| 14 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 1 | $788 | $788 | — | — | — | $788 – $788 |
| 15 | UPMC Washington Washington, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $445 | $521 | $122 | 23% | — | $445 – $747 |
| 16 | Warsaw Health System LLC Warsaw, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $207 | $207 | $183 | 88% | — | $24 – $390 |
| 17 | Warsaw Health System LLC Warsaw, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | $183 | 88% | — | $24 – $390 |
← Payers reporting HCPCS G0365 · Snapshot 20261112T181611Z-3fa9fb76