Low
$16.7k
Average
$17.0k
Median
$16.7k
High
$17.7k
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4 hospital rates
iThe hospitals that file a Medica 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 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $17.7k | $17.7k | — | — | — | $17.7k – $17.7k |
| 2 | SSM Health Care of Oklahoma, Inc Midwest City, OK fee schedule · outpatient | 1 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 3 | SSM Health Care of Oklahoma, Inc Oklahoma City, OK fee schedule · outpatient | 1 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 4 | St. Anthony Shawnee Hospital, Inc Seminole, OK fee schedule · outpatient | 1 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
← Payers reporting HCPCS Q4244 · Snapshot 20261112T181611Z-3fa9fb76