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
$4
Average
$57
Median
$9
High
$823
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
94 hospitals; the 90th percentile is 48.2× 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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97 hospital rates
iThe hospitals that file a Ambetter 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 6 | Cheshire Medical Center Keene, NH facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 8 | Cumberland County Hospital System Inc Fayetteville, NC facility · other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 9 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $563 | $654 | $390 | 60% | — | $284 – $1.4k |
| 10 | Deaconess Hospital, Inc Newburgh, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $859 | $823 | $153 | 19% | — | $576 – $997 |
| 11 | Eisenhower Medical Center Rancho Mirage, CA other · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 14 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 18 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 19 | Hardin County General Hospital Savannah, TN facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 21 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | $18 | 100% | — | $0 – $36 |
| 22 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 23 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 24 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
← Payers reporting HCPCS J9076 · Snapshot 20261111T120946Z-9134e7f7