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
CAST SUP SHT ARM ADULT FBRGL
Low
$1
Average
$30
Median
$21
High
$61
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 61.0× 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
27 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 14 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 15 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 16 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 20 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 21 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · inpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 22 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 24 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 25 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
← Payers reporting HCPCS Q4010 · Snapshot 20261111T120946Z-9134e7f7