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
PR PROLOTHERAPY
Low
$0
Average
$168
Median
$160
High
$572
Each hospital's average Molina rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 4.1× 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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74 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 2 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 4 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 5 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 6 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 7 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 11 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 12 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 13 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $370 | $524 | $218 | 42% | — | $370 – $833 |
| 18 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 19 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 20 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $79 | $79 | $4 | 4% | — | $75 – $82 |
| 21 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 22 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 23 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 24 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 2 | $163 | $163 | $4 | 2% | — | $159 – $167 |
| 25 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · case rate · outpatient | 1 | $159 | $159 | — | — | — | $159 – $159 |
← Payers reporting HCPCS M0076 · Snapshot 20261111T120946Z-9134e7f7