Telehealth originating site facility fee

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

HC Telehealth Facility Fee

Premera pricing summary

Low

$16

Average

$70

Median

$51

High

$763

Premera rate distribution

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42 hospital rates

#		Plans
1	COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient	1	$63	$63	—	—	—	$63 – $63
2	COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient	1	$67	$67	—	—	—	$67 – $67
3	Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges	3	$67	$65	$2	4%	—	$61 – $67
4	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient	1	$100	$100	—	—	—	$100 – $100
5	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient	1	$100	$100	—	—	—	$100 – $100
6	Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges	1	$69	$69	—	—	—	$69 – $69
7	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both	1	$22	$22	—	—	—	$22 – $22
8	ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient	2	$37	$37	$23	61%	—	$15 – $60
9	FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient	2	$51	$51	$9	17%	—	$42 – $60
10	FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient	2	$51	$51	$9	17%	—	$42 – $60
11	Good Samaritan Hospital Puyallup, WA fee schedule · outpatient	4	$54	$55	$7	13%	—	$46 – $66
12	HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient	2	$64	$64	$12	18%	—	$52 – $76
13	HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient	2	$50	$50	$3	5%	—	$47 – $52
14	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both	1	$763	$763	—	—	—	$763 – $763
15	Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient	4	$54	$55	$7	13%	—	$46 – $66
16	Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both	1	$112	$112	—	—	—	$112 – $112
17	Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges	1	$103	$103	—	—	—	$103 – $103
18	Mercy Health Saint Marys Rockford, MI facility · fee schedule · both	1	$51	$51	—	—	—	$51 – $51
19	Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges	1	$35	$35	—	—	—	$35 – $35
20	Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges	1	$35	$35	—	—	—	$35 – $35
21	Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges	1	$35	$35	—	—	—	$35 – $35
22	MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient	4	$54	$55	$7	13%	—	$46 – $66
23	MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient	4	$55	$53	$4	8%	—	$46 – $55
24	MultiCare Covington Medical Center Covington, WA fee schedule · outpatient	4	$54	$55	$7	13%	—	$46 – $66
25	MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient	4	$37	$40	$4	9%	—	$37 – $46

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