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
$45
Average
$472
Median
$329
High
$1.8k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 14.8× 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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18 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $947 | $947 | — | — | — | $947 – $947 |
| 2 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $524 | $684 | $621 | 91% | — | $11 – $2.0k |
| 3 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $26 | $95 | $110 | 116% | — | $25 – $277 |
| 4 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $88 | $166 | $182 | 110% | — | $6 – $682 |
| 5 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 6 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $202 | $509 | $591 | 116% | — | $53 – $1.6k |
| 7 | NYU Langone Mineola, NY case rate · outpatient | 15 | $51 | $51 | — | — | — | $51 – $51 |
| 8 | NYU Langone Brooklyn, NY case rate · outpatient | 15 | $93 | $93 | — | — | — | $93 – $93 |
| 9 | NYU Langone New York, NY case rate · outpatient | 15 | $95 | $95 | — | — | — | $95 – $95 |
| 10 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · outpatient | 15 | $45 | $45 | — | — | — | $45 – $45 |
| 11 | SIERRA VISTA HOSPITAL INC Obispo, CA fee schedule · outpatient | 1 | $352 | $398 | $271 | 68% | — | $46 – $1.1k |
| 12 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 13 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $152 | $105 | 69% | — | $31 – $394 |
| 14 | TWIN CITIES COMMUNITY HOSPITAL INC Templeton, CA fee schedule · outpatient | 1 | $572 | $590 | $468 | 79% | — | $18 – $1.6k |
| 15 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $167 | $379 | $444 | 117% | — | $72 – $1.5k |
| 16 | UKIAH ADVENTIST HOSPITAL Ukiah, CA fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | UMass Memorial Health - Harrington Hospital, Inc. 2nd Floor Webster, MA percent of total billed charges · bothfrom % of charges | 2 | $237 | $279 | $167 | 60% | — | $98 – $546 |
| 18 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 3 | $603 | $895 | $888 | 99% | — | $49 – $3.8k |
← Payers reporting HCPCS J3535 · Snapshot 20261111T120946Z-9134e7f7