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
$1
Average
$143
Median
$78
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
383 hospitals; the 90th percentile is 49.1× 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.
Filter by billing methodology
Filter by billing class
509 hospital rates
iThe hospitals that file a Molina 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 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 1 | $60 | $60 | — | — | 225 | $60 – $60 |
| 2 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 1 | $57 | $57 | — | — | 120 | $57 – $57 |
| 3 | USA Health Children's & Women's Hospital Mobile, AL facility · other · outpatient | 1 | $73 | $73 | — | — | 16 | $73 – $73 |
| 4 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $135 | $135 | — | — | 15 | $135 – $135 |
| 5 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 2 | $196 | $198 | $41 | 21% | 13 | $151 – $248 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $31 | $36 | 117% | 12 | $5 – $82 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $43 | $50 | 117% | 12 | $7 – $113 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $35 | $41 | 117% | 3–30 | $6 – $93 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $35 | $41 | 117% | 3–30 | $6 – $93 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $35 | $41 | 117% | 3–30 | $6 – $93 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $31 | $36 | 117% | 3–30 | $5 – $82 |
| 12 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $158 | $158 | $8 | 5% | 2–20 | $151 – $166 |
| 13 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $75 | $75 | — | — | 2–20 | $75 – $75 |
| 14 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · outpatient | 1 | $75 | $75 | — | — | 2–20 | $75 – $75 |
| 15 | Pekin Memorial Hospital Pekin, IL percent of total billed charges · outpatientfrom % of charges | 2 | $237 | $237 | $11 | 5% | 2–20 | $226 – $248 |
| 16 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 2 | $237 | $237 | $11 | 5% | 2–20 | $226 – $248 |
| 17 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | $18 | 87% | 2–20 | $3 – $38 |
| 18 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | 1–10 | $143 – $143 |
| 19 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | 1–10 | $108 – $108 |
| 20 | HSA PGH LLC Hialeah, FL facility · other · outpatient | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 21 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · bothfrom % of charges | 1 | $391 | $391 | — | — | 1–10 | $391 – $391 |
| 22 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $146 | $146 | — | — | 1–10 | $146 – $146 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 24 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
← Payers reporting HCPCS J2791 · Snapshot 20261111T120946Z-9134e7f7