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
PR Visit Complexity E&M Service Serious/Complex Condition
Low
$9
Average
$24
Median
$15
High
$143
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 4.2× 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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41 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 3 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Henry Ford Health System West Bloomfield, MI professional · fee schedule · outpatient | 2 | $16 | $16 | $1 | 9% | — | $14 – $17 |
| 10 | Henry Ford Health System Plymouth, MI professional · fee schedule · outpatient | 2 | $16 | $16 | $1 | 9% | — | $14 – $17 |
| 11 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · fee schedule · outpatient | 2 | $16 | $16 | $1 | 9% | — | $14 – $17 |
| 12 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI professional · fee schedule · outpatient | 2 | $16 | $16 | $1 | 9% | — | $14 – $17 |
| 13 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 18 | Mercy Medical Center - Dubuque Dubuque, IA professional · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · inpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 20 | Mercy Medical Center - New Hampton New Hampton, IA professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 23 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 24 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 25 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
← Payers reporting HCPCS G2211 · Snapshot 20261111T120946Z-9134e7f7