Low
$161
Average
$161
Median
$161
High
$161
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4 hospital rates
iThe hospitals that file a Medica 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 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 3 | Nebraska Medical Center Omaha, NE fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 4 | Nebraska Medical Center Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
← Payers reporting HCPCS G2064 · Snapshot 20261112T124536Z-e251e855