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
$112
Average
$125
Median
$116
High
$148
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4 hospital rates
iThe hospitals that file a Tricare 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 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $103 | $116 | $43 | 37% | — | $72 – $174 |
| 2 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 3 | San Juan Hospital Spanish Valley, UT facility · fee schedule · outpatient | 3 | $148 | $148 | — | — | — | $148 – $148 |
| 4 | San Juan Hospital Spanish Valley, UT professional · fee schedule · outpatient | 3 | $148 | $148 | — | — | — | $148 – $148 |
← Payers reporting HCPCS G0512 · Snapshot 20261112T124536Z-e251e855