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
Q4154
Low
$147
Average
$3.3k
Median
$334
High
$13.3k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 61.5× 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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60 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 4 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 5 | Community Medical Center Toms River, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 6 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 7 | DIGNITY COMMUNITY CARE San Luis Obispo, CA fee schedule · inpatient | 1 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 8 | DIGNITY COMMUNITY CARE San Luis Obispo, CA fee schedule · outpatient | 1 | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 9 | DIGNITY HEALTH Santa Maria, CA fee schedule · inpatient | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 10 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 1 | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 11 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 12 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 13 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 14 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 15 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $682 | $682 | — | — | — | $682 – $682 |
| 16 | Jersey City Medical Center Jersey City, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | — | $186 – $186 |
| 17 | Kaweah Health Medical Center Visalia, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $446 | $446 | — | — | — | $446 – $446 |
| 18 | Kaweah Health Medical Center Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $446 | $446 | — | — | — | $446 – $446 |
| 19 | Kaweah Health Mental Health Hospital Visalia, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $446 | $446 | — | — | — | $446 – $446 |
| 20 | Kaweah Health Mental Health Hospital Visalia, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $446 | $446 | — | — | — | $446 – $446 |
| 21 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $6.2k | $10.0k | 162% | — | $1.3k – $28.5k |
| 22 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $6.2k | $10.0k | 162% | — | $1.3k – $28.5k |
| 23 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · inpatientfrom % of charges | 1 | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 24 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 1 | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 25 | Methodist Hospital St. Louis Park, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $945 | $945 | — | — | — | $945 – $945 |
← Payers reporting HCPCS Q4154 · Snapshot 20261111T120946Z-9134e7f7