HCPCS P6304
Low
$10
Average
$18
Median
$18
High
$22
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10 hospital rates
iThe hospitals that file a Aetna 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 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · outpatient | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · outpatient | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · outpatient | 2 | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · outpatient | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 5 | St Luke's Methodist Hospital Marion, IA fee schedule · outpatient | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 6 | The Finley Hospital Dubuque, IA fee schedule · outpatient | 2 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Trinity Medical Center Rock Island, IL fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 8 | Trinity Medical Center Bettendorf, IA fee schedule · outpatient | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Trinity Regional Medical Center Fort Dodge, IA fee schedule · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Unity Healthcare Muscatine, IA fee schedule · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
← Payers reporting HCPCS P6304 · Snapshot 20261113T090226Z-3ce6c0b8