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
$5
Average
$127
Median
$38
High
$585
Each hospital's average Clover rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 89.4× 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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36 hospital rates
iThe hospitals that file a Clover 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 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 4 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 2 | $77 | $77 | — | — | — | $77 – $77 |
| 5 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 7 | Hilton Head Medical Center LLC Hilton Head Island, SC percent of total billed charges · bothfrom % of charges | 2 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 11 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 13 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 17 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · both | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 19 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 20 | Penn Medicine Princeton Medical Center Princeton, NJ facility · other · outpatient | 1 | $541 | $403 | $234 | 58% | — | $74 – $595 |
| 21 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient | 1 | $541 | $391 | $252 | 64% | — | $36 – $595 |
| 22 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | $85 | 87% | — | $13 – $183 |
| 23 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 1 | $568 | $568 | $27 | 5% | — | $541 – $595 |
| 24 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting HCPCS J2791 · Snapshot 20261111T120946Z-9134e7f7