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
$26
Median
$23
High
$70
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 4.3× 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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16 hospital rates
iThe hospitals that file a Devoted 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 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | $7 | 31% | — | $16 – $31 |
| 2 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | $7 | 31% | — | $16 – $30 |
| 3 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $23 | $7 | 31% | — | $16 – $30 |
| 4 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | $9 | 31% | — | $20 – $38 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Honokaa Hospital and Skilled Nursing Facility Honokaa, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Kau Hospital Pahala, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $35 | $35 | $3 | 8% | — | $32 – $38 |
| 9 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | $2 | 5% | — | $35 – $39 |
| 11 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | $2 | 5% | — | $43 – $48 |
| 12 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | $2 | 5% | — | $40 – $44 |
| 13 | The Chester County Hospital West Chester, PA facility · other · outpatient | 1 | $11 | $11 | $3 | 28% | — | $8 – $14 |
| 14 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $11 | $11 | $3 | 28% | — | $8 – $14 |
| 15 | University Hospitals Health System Geneva, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $10 | $2 | 24% | — | $8 – $13 |
| 16 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
← Payers reporting HCPCS J0689 · Snapshot 20261111T120946Z-9134e7f7