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
Hospice/home hlth in asst lv
Low
$99
Average
$188
Median
$193
High
$448
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 2.8× 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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19 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | "Savoy Medical Management Group, Inc." Mamou, LA facility · fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 2 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 4 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 6 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $100 | $100 | $2 | 2% | — | $99 – $102 |
| 7 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT facility · percent of total billed charges · inpatientfrom % of charges | 6 | $115 | $115 | — | — | — | $115 – $115 |
| 8 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL CITY, MT facility · percent of total billed charges · outpatientfrom % of charges | 6 | $115 | $115 | — | — | — | $115 – $115 |
| 9 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $299 | $292 | $21 | 7% | — | $224 – $299 |
| 10 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 11 | MacNeal Hospital Berwyn, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $448 | $448 | — | — | — | $448 – $448 |
| 13 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 14 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 15 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 16 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 17 | Proctor Community Hospital Peoria, IL fee schedule · inpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 18 | Proctor Community Hospital Peoria, IL fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 19 | Tanner Medical Center - Carrollton Carrollton, GA facility · case rate · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
← Payers reporting HCPCS Q5002 · Snapshot 20261113T090226Z-3ce6c0b8