Low
$1
Average
$1
Median
$1
High
$1
Filter by billing methodology
Filter by billing class
2 hospital rates
iThe hospitals that file a Medical Mutual 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 | Marietta Memorial Hospital Belpre, OH facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 9% | — | $0 – $1 |
| 2 | Selby General Hospital Marietta, OH facility · fee schedule · outpatient | 2 | $1 | $1 | $0 | 9% | — | $0 – $1 |
← Payers reporting HCPCS J1164 · Snapshot 20261111T120946Z-9134e7f7