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
MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO
Low
$1
Average
$74
Median
$48
High
$429
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 10.3× 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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67 hospital rates
iThe hospitals that file a Medicaid 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 3 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 8 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 13 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $19 | $19 | $4 | 21% | — | $13 – $24 |
| 17 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 18 | Mercy Hospital Columbus Columbus, KS facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 19 | Mercy Hospital Ada Inc Ada, OK facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 20 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 21 | Mercy Hospital Berryville Berryville, AR facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 22 | Mercy Hospital Booneville Booneville, AR facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 23 | Mercy Hospital Carthage Carthage, MO facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 24 | Mercy Hospital Cassville Knob, MO facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 25 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
← Payers reporting HCPCS G0500 · Snapshot 20261111T120946Z-9134e7f7