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 in lt/non-skilled nf
Low
$40
Average
$128
Median
$100
High
$306
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 4.2× 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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41 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 3 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 3 | $60 | $60 | — | — | — | $60 – $60 |
| 4 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 5 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 9 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 10 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 11 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 12 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 13 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $155 | $155 | — | — | — | $155 – $155 |
| 14 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $155 | $155 | — | — | — | $155 – $155 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 16 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 18 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $115 | $267 | $225 | 84% | — | $99 – $596 |
| 19 | 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 |
| 20 | 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 |
| 21 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $155 | $155 | — | — | — | $155 – $155 |
| 22 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $314 | $306 | $23 | 7% | — | $235 – $314 |
| 23 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 24 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 25 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $261 | $220 | 84% | — | $99 – $573 |
← Payers reporting HCPCS Q5003 · Snapshot 20261113T090226Z-3ce6c0b8