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
facility
Low
$0
Average
$42
Median
$2
High
$1.5k
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
145 hospitals; the 90th percentile is 125.8× 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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180 hospital rates
iThe hospitals that file a Kaiser 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $3.0k | $3.0k | — | — | 4–40 | $3.0k – $3.0k |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | $0 | 9% | 4–40 | $0 – $0 |
| 3 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · inpatientfrom % of charges | 2 | $86 | $72 | $53 | 74% | — | $0 – $129 |
| 4 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $39 | $29 | 74% | — | $0 – $69 |
| 5 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $94 | $127 | 135% | — | $4 – $273 |
| 6 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO percent of total billed charges · outpatientfrom % of charges | 5 | $4 | $6 | $2 | 29% | — | $4 – $8 |
| 7 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $51 | $12 | 24% | — | $35 – $64 |
| 12 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $51 | $12 | 24% | — | $35 – $64 |
| 13 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $129 | $174 | 134% | — | $5 – $375 |
| 14 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $129 | $174 | 134% | — | $5 – $375 |
| 15 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1 | $1 | $1 | 62% | — | $0 – $3 |
| 17 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $1 | 65% | — | $0 – $3 |
| 18 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $2 | $2 | $1 | 61% | — | $0 – $5 |
| 19 | Children's National Rehabilitation and Specialized Care Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2 | $2 | $1 | 64% | — | $0 – $4 |
| 20 | Corona Regional Medical Center Corona, CA percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | $1 | 16% | — | $4 – $6 |
| 22 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $0 | $0 | $0 | 33% | — | $0 – $0 |
| 23 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $7 | $49 | $71 | 146% | — | $2 – $187 |
| 24 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 25 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · inpatientfrom % of charges | 6 | $1 | $1 | $1 | 96% | — | $0 – $3 |
← Payers reporting HCPCS Q0169 · Snapshot 20261111T120946Z-9134e7f7