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
Fee Schedule
Low
$3
Average
$142
Median
$104
High
$352
Each hospital's average Humana rate, under the methodology and billing class chosen below.
82 hospitals; the 90th percentile is 30.9× 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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85 hospital rates
iThe hospitals that file a Humana 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 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · inpatientfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO percent of total billed charges · outpatientfrom % of charges | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 5 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 6 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 2 | $47 | $47 | — | — | — | $47 – $47 |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 12 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 6 | $49 | $55 | $36 | 66% | — | $17 – $107 |
| 13 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 14 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 15 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 16 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 17 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 18 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 19 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 20 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 21 | HCA HOUSTON HEALTHCARE WEST STAFFORD, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 22 | HCA HOUSTON MAINLAND Texas City, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 23 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX fee schedule · outpatient | 2 | $293 | $293 | — | — | — | $293 – $293 |
| 24 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $100 | $97 | $16 | 17% | — | $67 – $112 |
| 25 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $100 | $97 | $16 | 17% | — | $67 – $112 |
← Payers reporting HCPCS J2400 · Snapshot 20261112T181611Z-3fa9fb76