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
Other Specified Case Mgmt
Low
$110
Average
$198
Median
$110
High
$374
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3 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 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 2 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 3 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $374 | $374 | — | — | — | $374 – $374 |
← Payers reporting HCPCS G9012 · Snapshot 20261112T124536Z-e251e855