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
$40
Average
$227
Median
$202
High
$869
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
170 hospitals; the 90th percentile is 3.1× 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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186 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $135 | $133 | $3 | 2% | — | $129 – $135 |
| 2 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $257 | $257 | $18 | 7% | — | $239 – $275 |
| 3 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $257 | $257 | $18 | 7% | — | $239 – $275 |
| 4 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $45 | $45 | $29 | 65% | — | $16 – $75 |
| 6 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $54 | $40 | $20 | 51% | — | $11 – $54 |
| 7 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $54 | $40 | $20 | 51% | — | $11 – $54 |
| 8 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · fee schedule · outpatient | 5 | $381 | $343 | $77 | 23% | — | $190 – $402 |
| 9 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $86 | $87 | $8 | 9% | — | $80 – $97 |
| 10 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · fee schedule · outpatient | 5 | $361 | $321 | $80 | 25% | — | $190 – $402 |
| 11 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · fee schedule · outpatient | 5 | $361 | $321 | $80 | 25% | — | $190 – $402 |
| 12 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · fee schedule · outpatient | 4 | $203 | $206 | $18 | 9% | — | $187 – $229 |
| 13 | Baylor Scott & White Medical Center - Austin Austin, TX facility · fee schedule · outpatient | 4 | $203 | $206 | $18 | 9% | — | $187 – $229 |
| 14 | Baylor Scott & White Medical Center - Brenham Brenham, TX facility · fee schedule · outpatient | 4 | $203 | $206 | $18 | 9% | — | $187 – $229 |
| 15 | Baylor Scott & White Medical Center - Brenham Brenham, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 16 | Baylor Scott & White Medical Center - Buda Buda, TX facility · fee schedule · outpatient | 4 | $203 | $206 | $18 | 9% | — | $187 – $229 |
| 17 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · fee schedule · outpatient | 5 | $276 | $245 | $61 | 25% | — | $145 – $306 |
| 18 | Baylor Scott & White Medical Center - College Station College Station, TX facility · fee schedule · outpatient | 1 | $229 | $229 | — | — | — | $229 – $229 |
| 19 | Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX facility · fee schedule · outpatient | 5 | $381 | $343 | $77 | 23% | — | $190 – $402 |
| 20 | Baylor Scott & White Medical Center - Grapevine Grapevine, TX facility · fee schedule · outpatient | 5 | $381 | $343 | $77 | 23% | — | $190 – $402 |
| 21 | Baylor Scott & White Medical Center - Hillcrest Waco, TX facility · fee schedule · outpatient | 4 | $203 | $206 | $18 | 9% | — | $187 – $229 |
| 22 | Baylor Scott & White Medical Center - Irving Irving, TX facility · fee schedule · outpatient | 5 | $381 | $343 | $77 | 23% | — | $190 – $402 |
| 23 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · fee schedule · outpatient | 5 | $276 | $245 | $61 | 25% | — | $145 – $306 |
| 24 | Baylor Scott & White Medical Center - Lakeway Lakeway, TX facility · fee schedule · outpatient | 4 | $203 | $206 | $18 | 9% | — | $187 – $229 |
| 25 | Baylor Scott & White Medical Center - Marble Falls Marble Falls, TX facility · fee schedule · outpatient | 4 | $203 | $206 | $18 | 9% | — | $187 – $229 |
← Payers reporting HCPCS G0512 · Snapshot 20261112T124536Z-e251e855