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
Fee Schedule
Low
$0
Average
$9.5k
Median
$3.6k
High
$55.7k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 22.2× 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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27 hospital rates
iThe hospitals that file a First Health 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 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22.4k | $22.4k | — | — | — | $22.4k – $22.4k |
| 2 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22.4k | $22.4k | — | — | — | $22.4k – $22.4k |
| 3 | DIGNITY HEALTH Phoenix, AZ fee schedule · inpatient | 1 | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 4 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 5 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $828 | $828 | — | — | — | $828 – $828 |
| 6 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 7 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 8 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 9 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 10 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
| 11 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
| 12 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 2 | $55.7k | $55.7k | $1.7k | 3% | — | $54.0k – $57.4k |
| 13 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 15 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 16 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 17 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 18 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 19 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 20 | METROPOLITAN METHODIST SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 21 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 22 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 23 | STONE OAK REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 24 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
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