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.
Generation details were not recorded for this description.
Original text from hospital filings
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The hospitals that file a Devoted 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.
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212 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $180.83 | $180.83 – $180.83 |
| 2 | Banner Goldfield Medical Center Apache Junction, AZ facility · fee schedule · outpatient | 1 | $180.54 | $180.54 – $180.54 |
| 3 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $223.94 | $223.94 – $223.94 |
| 4 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $14,554 | $14,554 – $14,554 |
| 5 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $196.32 | $196.32 – $196.32 |
| 6 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $180.83 | $180.83 – $180.83 |
| 7 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $196.32 | $196.32 – $196.32 |
| 8 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $182.55 | $182.55 – $182.55 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $14,092 | $14,092 – $14,092 |
| 10 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14,092 | $14,092 – $14,092 |
| 11 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $168.78 | $168.78 – $168.78 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $168.78 | $168.78 – $168.78 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $168.78 | $168.78 – $168.78 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2,803 | $498.81 – $3,990 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $168.78 | $168.78 – $168.78 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $168.78 | $168.78 – $168.78 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $168.78 | $168.78 – $168.78 |
| 18 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $175.71 | $175.71 – $175.71 |
| 19 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $175.71 | $175.71 – $175.71 |
| 20 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 2 | $171.99 | $171.99 – $171.99 |
| 21 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 1 | $186.97 | $186.97 – $186.97 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 1 | $186.97 | $186.97 – $186.97 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $186.97 | $186.97 – $186.97 |
| 24 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 1 | $186.97 | $186.97 – $186.97 |
| 25 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 2 | $171.99 | $171.99 – $171.99 |
← Payers reporting HCPCS J3101 · Snapshot 20261108T203506Z-bb90dbab