Low
$231
Average
$237
Median
$237
High
$243
Filter by billing methodology
Filter by billing class
2 hospital rates
iThe hospitals that file a Medical Mutual 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 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $243 | $243 | $71 | 29% | — | $172 – $314 |
| 2 | Shelby County Memorial Hospital Assocation Sidney, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $231 | $231 | — | — | — | $231 – $231 |
← Payers reporting HCPCS L3956 · Snapshot 20261113T090226Z-3ce6c0b8