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
Collateral Contact 15 Min
Low
$1
Average
$129
Median
$95
High
$342
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 3.4× 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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36 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 2 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 3 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 4 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 7 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 8 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 2 | $114 | $82 | $45 | 54% | — | $19 – $114 |
| 9 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 10 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 11 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 13 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 14 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 2 | $114 | $81 | $46 | 57% | — | $16 – $114 |
| 15 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 16 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 17 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 18 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 19 | Memorial Hospital of Boscobel Boscobel, WI facility · fee schedule · outpatient | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 20 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 2 | $115 | $83 | $45 | 54% | — | $20 – $115 |
| 21 | Moundview Memorial Hospital and Clinics, Inc. Friendship, WI facility · fee schedule · outpatient | 1 | $342 | $342 | — | — | — | $342 – $342 |
| 22 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 23 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 25 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 2 | $114 | $80 | $48 | 61% | — | $11 – $114 |
← Payers reporting HCPCS H0046 · Snapshot 20261111T120946Z-9134e7f7