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
WB/RBC LR CMV NEG EA
Low
$35
Average
$230
Median
$90
High
$919
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 25.5× 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.
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42 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 3 | Children's Hospital Medical Center Mason, OH fee schedule · outpatient | 1 | $337 | $337 | — | — | — | $337 – $337 |
| 4 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $289 | $289 | — | — | — | $289 – $289 |
| 5 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $919 | $919 | — | — | — | $919 – $919 |
| 6 | Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg, PA facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 7 | HCA FLORIDA KENDALL HOSPITAL MIAMI, FL percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 8 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 9 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 10 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 11 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 12 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 13 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $457 | $457 | — | — | — | $457 – $457 |
| 14 | Independence Health System Frick Hospital Mt Plesant, PA fee schedule · both | 2 | $99 | $99 | $60 | 61% | — | $39 – $159 |
| 15 | Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · both | 2 | $99 | $99 | $60 | 61% | — | $39 – $159 |
| 16 | Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both | 2 | $99 | $99 | $60 | 61% | — | $39 – $159 |
| 17 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 18 | Mount Carmel Dublin Dublin, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $919 | $919 | — | — | — | $919 – $919 |
| 19 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $919 | $919 | — | — | — | $919 – $919 |
| 20 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $919 | $919 | — | — | — | $919 – $919 |
| 21 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $919 | $919 | — | — | — | $919 – $919 |
| 22 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $919 | $919 | — | — | — | $919 – $919 |
| 23 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 24 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 25 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
← Payers reporting HCPCS P9051 · Snapshot 20261111T120946Z-9134e7f7