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
Lso sag ctr rigi pos pre ots
Low
$85
Average
$297
Median
$334
High
$466
Each hospital's average First Health rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 5.0× 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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25 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 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · inpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
| 2 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 6 | DIGNITY HEALTH Bakersfield, CA fee schedule · inpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
| 7 | DIGNITY HEALTH Bakersfield, CA fee schedule · outpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
| 8 | DIGNITY HEALTH Merced, CA fee schedule · inpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 9 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 10 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 11 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $365 | $365 | — | — | — | $365 – $365 |
| 12 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 13 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 14 | MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $377 | $377 | — | — | — | $377 – $377 |
| 15 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $413 | $413 | — | — | — | $413 – $413 |
| 16 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $274 | $274 | — | — | — | $274 – $274 |
| 17 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 18 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 19 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 20 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $256 | $256 | — | — | — | $256 – $256 |
| 21 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 22 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 23 | PORT CITY OPERATING COMPANY, LLC Stockton, CA fee schedule · inpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 24 | PORT CITY OPERATING COMPANY, LLC Stockton, CA fee schedule · outpatient | 1 | $383 | $383 | — | — | — | $383 – $383 |
| 25 | Webster Memorial Hospital Inc Cowen, WV professional · fee schedule · both | 1 | $85 | $85 | — | — | — | $85 – $85 |
← Payers reporting HCPCS L0643 · Snapshot 20261112T181611Z-3fa9fb76