Low
$48
Average
$102
Median
$76
High
$317
Each hospital's average Medica rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 2.9× 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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10 hospital rates
iThe hospitals that file a Medica 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 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $101 | $101 | $50 | 50% | — | $51 – $151 |
| 2 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 4 | Mercy Hospital Logan County Inc Guthrie, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $112 | $112 | $18 | 16% | — | $94 – $129 |
| 5 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 7 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 8 | Mercy Hospital Watonga Inc Watonga, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $124 | $124 | $20 | 16% | — | $104 – $145 |
| 9 | Mercy Specialty Hospital Southeast Kansas Galena, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 10 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges | 1 | $317 | $317 | — | — | — | $317 – $317 |
← Payers reporting HCPCS J1164 · Snapshot 20261111T120946Z-9134e7f7