HCPCS G9614
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
Photodoc < 2 cec lndmk
Low
$0
Average
$1
Median
$0
High
$35
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34 hospital rates
iThe hospitals that file a Aetna 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Eastern Maine Medical Center Bangor, ME facility · case rate · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Jennie Stuart Medical Center Hopkinsville, KY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Montefiore Medical Center Bronx, NY fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Overlake Medical Center & Clinics Bellevue, WA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Providence Health And Services - Washington Anchorage, AK fee schedule · outpatient | 2 | $0 | $0 | $0 | 20% | — | $0 – $0 |
| 24 | Renown Regional Medical Center Reno, NV facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Renown South Meadows Medical Center Reno, NV facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS G9614 · Snapshot 20261113T090226Z-3ce6c0b8