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
Q4239
Low
$80
Average
$603
Median
$253
High
$2.1k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 17.5× 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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29 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 | $999 | $999 | — | — | — | $999 – $999 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $999 | $999 | — | — | — | $999 – $999 |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Clara Maass Medical Center Belleville, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 5 | Community Medical Center Toms River, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 6 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 7 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · inpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 9 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 10 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $999 | $999 | — | — | — | $999 – $999 |
| 11 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | Jersey City Medical Center Jersey City, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 13 | Monmouth Medical Center Long Branch, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 14 | Monmouth Medical Center Southern Campus Lakewood, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 15 | Newark Beth Israel Medical Center Newark, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 16 | OCHSNER BAYOU LLC Raceland, LA percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 17 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · inpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 18 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 19 | OCHSNER MEDICAL CENTER � KENNER LLC Kenner, LA other · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 20 | Orlando Health Melbourne Hospital Melbourne, FL fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 21 | Orlando Health Sebastian River Hospital Sebastian, FL fee schedule · outpatient | 1 | $253 | $253 | — | — | — | $253 – $253 |
| 22 | Pike Health Services Inc Waverly, OH facility · fee schedule · outpatient | 1 | $999 | $999 | — | — | — | $999 – $999 |
| 23 | Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 24 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 25 | Robert Wood Johnson University Hospital Rahway Rahway, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | — | $315 – $315 |
← Payers reporting HCPCS Q4239 · Snapshot 20261111T120946Z-9134e7f7