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
$296
Average
$13.7k
Median
$13.1k
High
$23.8k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 7.2× 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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41 hospital rates
iThe hospitals that file a MultiPlan 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 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 5 | DIGNITY HEALTH Phoenix, AZ fee schedule · inpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 6 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 7 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 8 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 9 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 2 | $23.8k | $23.8k | $1.5k | 6% | — | $22.3k – $25.2k |
| 10 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX percent of total billed charges · outpatientfrom % of charges | 2 | $23.8k | $23.8k | $1.5k | 6% | — | $22.3k – $25.2k |
| 11 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX percent of total billed charges · outpatientfrom % of charges | 2 | $23.8k | $23.8k | $1.5k | 6% | — | $22.3k – $25.2k |
| 12 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 2 | $23.8k | $23.8k | $1.5k | 6% | — | $22.3k – $25.2k |
| 13 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 2 | $23.8k | $23.8k | $1.5k | 6% | — | $22.3k – $25.2k |
| 14 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 2 | $23.8k | $23.8k | $1.5k | 6% | — | $22.3k – $25.2k |
| 15 | METROPOLITAN METHODIST SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 2 | $23.8k | $23.8k | $1.5k | 6% | — | $22.3k – $25.2k |
| 16 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 17 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 18 | STONE OAK REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 2 | $23.8k | $23.8k | $1.5k | 6% | — | $22.3k – $25.2k |
| 19 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | UPMC Muncy Muncy, PA facility · percent of total billed charges · inpatientfrom % of charges | 3 | $13.0k | $13.6k | $11.3k | 83% | — | $2.3k – $28.1k |
| 22 | UPMC Muncy Muncy, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $13.0k | $13.6k | $11.3k | 83% | — | $2.3k – $28.1k |
| 23 | UPMC Wellsboro Wellsboro, PA facility · percent of total billed charges · inpatientfrom % of charges | 3 | $2.8k | $9.9k | $10.6k | 107% | — | $2.3k – $28.1k |
| 24 | UPMC Wellsboro Wellsboro, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.8k | $9.9k | $10.6k | 107% | — | $2.3k – $28.1k |
| 25 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · inpatientfrom % of charges | 2 | $13.2k | $13.1k | $2.1k | 16% | — | $10.6k – $16.2k |
← Payers reporting HCPCS J9315 · Snapshot 20261112T181611Z-3fa9fb76