Low
$3
Average
$3
Median
$3
High
$3
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1 hospital rate
iThe hospitals that file a Excellus 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 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2 | $3 | $2 | 52% | — | $2 – $5 |
← Payers reporting HCPCS J1164 · Snapshot 20261111T120946Z-9134e7f7