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.
Generation details were not recorded for this description.
Original text from hospital filings
FERN TEST NONL
Low
$2
Average
$22
Median
$10
High
$102
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 11.1× 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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46 hospital rates
iThe hospitals that file a Medicaid 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 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 4 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 7 | Boston Medical Center Boston, MA fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Boston Medical Center Brighton Boston, MA fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $70 | $70 | $3 | 4% | — | $67 – $72 |
| 14 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Mercy Hospital Ada Inc Ada, OK facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 17 | Mercy Hospital Aurora Aurora, MO facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | Mercy Hospital Cassville Knob, MO facility · fee schedule · outpatient | 2 | $10 | $10 | $2 | 17% | — | $9 – $12 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $9 | $9 | $0 | 1% | — | $9 – $9 |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $9 | $9 | $0 | 1% | — | $9 – $9 |
| 21 | Mercy Hospital Jefferson Imperial, MO facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 22 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · fee schedule · outpatient | 2 | $9 | $9 | $0 | 1% | — | $9 – $9 |
| 24 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | Mercy Hospital Pittsburg Inc Pittsburg, KS facility · fee schedule · outpatient | 2 | $9 | $9 | $0 | 1% | — | $9 – $9 |
← Payers reporting HCPCS Q0114 · Snapshot 20261111T120946Z-9134e7f7