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 Observation Carve-Out - Surgical
The 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.
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46 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $496.48 | $64.74 – $1,236 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $528.31 | $68.89 – $1,315 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $608.43 | $608.43 – $608.43 |
| 4 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · outpatient | 1 | $6,176 | $6,176 – $6,176 |
| 5 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $569.27 | $532.78 – $585.11 |
| 6 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $134.00 | $134.00 – $134.00 |
| 7 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $134.00 | $134.00 – $134.00 |
| 8 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $131.10 | $131.10 – $131.10 |
| 9 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $381.61 | $381.61 – $381.61 |
| 10 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $34.69 | $23.41 – $49.32 |
| 11 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $83.30 | $83.30 – $83.30 |
| 12 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $9,826 | $9,826 – $9,826 |
| 13 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $117.60 | $117.60 – $117.60 |
| 14 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · both | 1 | $6,860 | $6,860 – $6,860 |
| 15 | Mercy Fitzgerald Hospital Darby, PA facility · per diem · both | 1 | $296.00 | $296.00 – $296.00 |
| 16 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $216.92 | $216.92 – $216.92 |
| 17 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $94.88 | $66.67 – $123.08 |
| 18 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $97.94 | $97.94 – $97.94 |
| 19 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 1 | $2.46 | $2.46 – $2.46 |
| 20 | Mount Carmel Grove City Grove City, OH facility · other · outpatient | 1 | $3,262 | $3,262 – $3,262 |
| 21 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $322.00 | $322.00 – $322.00 |
| 22 | Nazareth Hospital Philadelphia, PA facility · per diem · both | 1 | $264.00 | $264.00 – $264.00 |
| 23 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $10,800 | $10,800 – $10,800 |
| 24 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $9,245 | $9,245 – $9,245 |
| 25 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · outpatient | 1 | $9,245 | $9,245 – $9,245 |
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