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
Q0163
Low
$0
Average
$40
Median
$0
High
$763
Each hospital's average Premera rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 335.6× 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
21 hospital rates
iThe hospitals that file a Premera 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $9 | $13 | 136% | — | $0 – $31 |
| 4 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | $4 | 52% | — | $4 – $12 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 10 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | $0 | 5% | — | $2 – $2 |
| 15 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 21 | The Mercy Hospital Inc Springfield, MA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS Q0163 · Snapshot 20261111T120946Z-9134e7f7