Low
$697
Average
$697
Median
$697
High
$697
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1 hospital rate
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 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $697 | $697 | — | — | — | $697 – $697 |
← Payers reporting HCPCS L0632 · Snapshot 20261113T090226Z-3ce6c0b8