Low
$225
Average
$493
Median
$493
High
$762
Filter by billing methodology
Filter by billing class
2 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 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $762 | $762 | — | — | — | $762 – $762 |
| 2 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · fee schedule · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
← Payers reporting HCPCS L0452 · Snapshot 20261111T120946Z-9134e7f7