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
Cocm by rhc/fqhc 60 min mo
Low
$33
Average
$279
Median
$133
High
$10.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
83 hospitals; the 90th percentile is 1.9× 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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93 hospital rates
iThe hospitals that file a Anthem 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $155 | $155 | $60 | 39% | — | $95 – $216 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 3 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $201 | $201 | $69 | 34% | — | $132 – $270 |
| 4 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 5 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 6 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 7 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $201 | $201 | $69 | 34% | — | $132 – $270 |
| 8 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 9 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 10 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 11 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 12 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 13 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $201 | $201 | $69 | 34% | — | $132 – $270 |
| 14 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 15 | Froedtert Bluemound Rehabilitation Hospital Wauwatosa, WI case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 16 | Froedtert Community Hospital Mequon Mequon, WI fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 17 | Froedtert Community Hospital New Berlin New Berlin, WI fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 18 | Froedtert Community Hospital Oak Creek Oak Creek, WI fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 19 | Froedtert Community Hospital Pewaukee Pewaukee, WI fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 20 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 21 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 22 | Holy Family Memorial Inc Manitowoc, WI fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 23 | Jennie Stuart Medical Center Hopkinsville, KY facility · case rate · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 24 | Lafayette County Darlington, WI professional · fee schedule · both | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 25 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
← Payers reporting HCPCS G0512 · Snapshot 20261112T124536Z-e251e855