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 Magellan 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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61 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $19,331 | $19,331 – $19,331 |
| 2 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $196.32 | $196.32 – $196.32 |
| 3 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $187.62 | $187.62 – $187.62 |
| 4 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $7,969 | $7,969 – $7,969 |
| 5 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $7,969 | $7,969 – $7,969 |
| 6 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $19,331 | $19,331 – $19,331 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $19,331 | $19,331 – $19,331 |
| 8 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $19,331 | $19,331 – $19,331 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $19,331 | $19,331 – $19,331 |
| 10 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $3,053 | $3,053 – $3,053 |
| 11 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 1 | $13,592 | $7,002 – $21,250 |
| 12 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 1 | $13,592 | $7,002 – $21,250 |
| 13 | Gadsden Regional Medical Center LLC Gadsden, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $566.00 | $0.01 – $849.00 |
| 14 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29,870 | $29,870 – $29,870 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18,191 | $17,922 – $18,460 |
| 16 | Key West HMA LLC FL 33040; 1200 Kennedy Dr. Key West, FL facility · fee schedule · outpatient | 1 | $5,198 | $5,198 – $5,198 |
| 17 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $18,342 | $15,652 – $21,033 |
| 18 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18,342 | $15,652 – $21,033 |
| 19 | MEDICAL CITY MCKINNEY MCKINNEY, TX percent of total billed charges · outpatientfrom % of charges | 2 | $10,128 | $549.91 – $29,283 |
| 20 | MEDICAL CITY NORTH HILLS North Richland Hills, TX percent of total billed charges · outpatientfrom % of charges | 2 | $10,195 | $588.19 – $29,409 |
| 21 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $342.70 | $228.46 – $456.94 |
| 22 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $988.99 | $659.31 – $1,319 |
| 23 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $810.93 | $540.62 – $1,081 |
| 24 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $448.59 | $299.06 – $598.11 |
| 25 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $642.43 | $428.27 – $856.58 |
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