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
Fee Schedule
Low
$56
Average
$111
Median
$124
High
$143
Each hospital's average Humana rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 2.3× 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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17 hospital rates
iThe hospitals that file a Humana 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 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 2 | $116 | $117 | $16 | 14% | — | $97 – $139 |
| 3 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $127 | $124 | $21 | 17% | — | $85 – $143 |
| 4 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $127 | $124 | $21 | 17% | — | $85 – $143 |
| 5 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $127 | $124 | $21 | 17% | — | $85 – $143 |
| 6 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $127 | $124 | $21 | 17% | — | $85 – $143 |
| 7 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $127 | $124 | $21 | 17% | — | $85 – $143 |
| 8 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · fee schedule · outpatient | 1 | $127 | $124 | $21 | 17% | — | $85 – $143 |
| 9 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 10 | SMSJ Tucson Holdings LLC Tucson, AZ fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 11 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 12 | The Medical Center of Peach County Inc Byron, GA fee schedule · both | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 13 | VHS Acquisition Subsidiary Number 1 Inc Cave Creek, AZ fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 14 | VHS OF ARROWHEAD, INC Surprise, AZ fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 15 | VHS OF ARROWHEAD, INC Phoenix, AZ fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 16 | VHS OF ARROWHEAD, INC Glendale, AZ fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 17 | VHS OF PHOENIX INC Phoenix, AZ fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
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