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
Phone/inter for treat>31m
Low
$53
Average
$79
Median
$73
High
$152
Each hospital's average Molina rate, under the methodology and billing class chosen below.
67 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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77 hospital rates
iThe hospitals that file a Molina 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $113 | $113 | $39 | 34% | — | $74 – $152 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 5 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $115 | $115 | $50 | 44% | — | $64 – $165 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $101 | $101 | $43 | 43% | — | $58 – $145 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $101 | $101 | $43 | 43% | — | $58 – $145 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $101 | $101 | $43 | 43% | — | $58 – $145 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 11 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 12 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 13 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 14 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 15 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 2 | $57 | $57 | $18 | 31% | — | $39 – $75 |
| 16 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 2 | $75 | $75 | — | — | — | $75 – $75 |
| 17 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 2 | $57 | $57 | $18 | 31% | — | $39 – $75 |
| 18 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 2 | $75 | $75 | — | — | — | $75 – $75 |
| 19 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 20 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 21 | Froedtert Bluemound Rehabilitation Hospital Wauwatosa, WI case rate · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 22 | Froedtert Community Hospital Mequon Mequon, WI fee schedule · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 23 | Froedtert Community Hospital New Berlin New Berlin, WI fee schedule · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 24 | Froedtert Community Hospital Oak Creek Oak Creek, WI fee schedule · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 25 | Froedtert Community Hospital Pewaukee Pewaukee, WI fee schedule · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
← Payers reporting HCPCS G0549 · Snapshot 20261112T124536Z-e251e855