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
Casiri and imdev repeat
Low
$167
Average
$484
Median
$371
High
$1.7k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 3.5× 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.
Filter by billing methodology
Filter by billing class
36 hospital rates
iThe hospitals that file a Optum 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 | $220 | $220 | — | — | — | $220 – $220 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $416 | $416 | — | — | — | $416 – $416 |
| 3 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $630 | $630 | — | — | — | $630 – $630 |
| 4 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $630 | $630 | — | — | — | $630 – $630 |
| 5 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 2 | $418 | $418 | — | — | — | $418 – $418 |
| 6 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 2 | $418 | $418 | — | — | — | $418 – $418 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $418 | $418 | — | — | — | $418 – $418 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 2 | $418 | $418 | — | — | — | $418 – $418 |
| 13 | Chatham Hospital Siler City, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $178 | — | — | — | $178 – $178 |
| 14 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 15 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $227 | $227 | — | — | — | $227 – $227 |
| 16 | Fairview Hospital Cleveland, OH facility · fee schedule · outpatient | 2 | $418 | $418 | — | — | — | $418 – $418 |
| 17 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $423 | $423 | — | — | — | $423 – $423 |
| 18 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 19 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 20 | LODI COMMUNITY HOSPITAL Lodi, OH facility · fee schedule · outpatient | 2 | $451 | $451 | — | — | — | $451 – $451 |
| 21 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $217 | $217 | — | — | — | $217 – $217 |
| 22 | LUTHERAN HOSPITAL Cleveland, OH facility · fee schedule · outpatient | 2 | $418 | $418 | — | — | — | $418 – $418 |
| 23 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 24 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · fee schedule · outpatient | 2 | $418 | $418 | — | — | — | $418 – $418 |
| 25 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $222 | $222 | — | — | — | $222 – $222 |
← Payers reporting HCPCS M0240 · Snapshot 20261112T181611Z-3fa9fb76