Low
$125
Average
$162
Median
$162
High
$200
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4 hospital rates
iThe hospitals that file a Bcbs Ks 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 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 2 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 3 | COMMONSPIRIT KANSAS, INC. Garden City, KS percent of total billed charges · outpatientfrom % of charges | 1 | $200 | $200 | — | — | — | $200 – $200 |
| 4 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · outpatientfrom % of charges | 1 | $200 | $200 | — | — | — | $200 – $200 |
← Payers reporting HCPCS Q4110 · Snapshot 20261111T120946Z-9134e7f7