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
Remot img sub by pt, non e/m
Low
$8
Average
$11
Median
$11
High
$14
Each hospital's average Clover rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 1.6× 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 Clover 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 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Conway Hospital, Inc. Conway, SC facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $10 | $10 | $1 | 15% | — | $8 – $11 |
| 7 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | FAIRVIEW PARK HOSPITAL DUBLIN, GA fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 12 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $11 | $11 | $2 | 16% | — | $9 – $13 |
| 13 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 15 | HCA Healthcare Trident Hospital SUMMERVILLE, SC fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | HOUSTON HOSPITALS INC Warner Robins, GA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 18 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 19 | Kershaw Medical Center Camden, SC facility · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | MEMORIAL HEALTH MEADOWS HOSPITAL Vidalia, GA fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER SAVANNAH, GA fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 22 | MEMORIAL SATILLA HEALTH Waycross, GA fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 23 | METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 25 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
← Payers reporting HCPCS G2250 · Snapshot 20261112T181611Z-3fa9fb76