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
facility
Low
$0
Average
$281
Median
$224
High
$1.4k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 509.8× 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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58 hospital rates
iThe hospitals that file a First Health 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 | Affinity Hospital LLC Birmingham, AL facility · other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Carlsbad Medical Center LLC Carlsbad, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | East Georgia Regional Medical Center LLC Statesboro, GA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | East Georgia Regional Medical Center LLC Statesboro, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Foley Hospital Company LLC Foley, AL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $1 | 78% | — | $0 – $2 |
| 11 | Gadsden Regional Medical Center LLC Gadsden, AL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3 | $3 | $0 | 7% | — | $3 – $4 |
| 12 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $299 | $299 | $57 | 19% | — | $242 – $356 |
| 13 | Las Cruces Medical Center LLC Las Cruces, NM facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 14 | Las Cruces Medical Center LLC Las Cruces, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Mercy Medical Center - Newton Newton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 16 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | $0 | 18% | — | $1 – $1 |
| 17 | Northwest Hospital LLC Tucson, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 18 | Northwest Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 19 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 1 | $973 | $973 | — | — | — | $973 – $973 |
| 21 | Northwestern Medicine Valley West Hospital Sandwich, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.4k | $235 | 17% | — | $1.1k – $1.7k |
| 23 | Oro Valley Hospital LLC Tucson, AZ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 24 | Oro Valley Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 25 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $270 | $270 | $37 | 14% | — | $233 – $307 |
← Payers reporting HCPCS J0162 · Snapshot 20261111T120946Z-9134e7f7