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
Coretext or protext, per cc
Low
$51
Average
$3.1k
Median
$3.0k
High
$10.9k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 1.2× 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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37 hospital rates
iThe hospitals that file a Molina 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 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 3 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 4 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 6 | Columbus Regional Healthcare System, Inc Whiteville, NC case rate · inpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 7 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $1.5k | $2.1k | $881 | 42% | — | $1.5k – $3.4k |
| 8 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 9 | Fort Duncan Medical Center LP Eagle Pass, TX percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | $381 | 27% | — | $953 – $1.9k |
| 10 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT professional · fee schedule · outpatient | 3 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 11 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 12 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT professional · fee schedule · outpatient | 3 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 13 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT professional · fee schedule · outpatient | 3 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT professional · fee schedule · outpatient | 3 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 17 | IHC Health Services Inc., DBA Intermountain Health Fillmore Community Hospital Fillmore, UT professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 18 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT professional · fee schedule · outpatient | 4 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 19 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT professional · fee schedule · outpatient | 3 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 20 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT professional · fee schedule · outpatient | 3 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 21 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT professional · fee schedule · outpatient | 4 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 22 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT professional · fee schedule · outpatient | 4 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 23 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT professional · fee schedule · outpatient | 4 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 24 | IHC Health Services Inc., DBA Intermountain Health Park City Hospital Park City, UT professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | IHC Health Services Inc., DBA Intermountain Health Riverton Hospital Riverton, UT professional · fee schedule · outpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
← Payers reporting HCPCS Q4246 · Snapshot 20261112T181611Z-3fa9fb76