HCPCS L1901
Low
$37
Average
$50
Median
$57
High
$57
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3 hospital rates
iThe hospitals that file a Molina 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 | Highland Hospital Rochester, NY fee schedule · outpatient | 2 | $57 | $57 | $30 | 53% | — | $26 – $87 |
| 2 | MEDICAL CITY LAS COLINAS Irving, TX percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | $19 | 50% | — | $19 – $56 |
| 3 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 2 | $57 | $57 | $30 | 53% | — | $26 – $87 |
← Payers reporting HCPCS L1901 · Snapshot 20261113T090226Z-3ce6c0b8