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
Renflexis
Low
$1
Average
$432
Median
$351
High
$4.2k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 93.2× 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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85 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 4 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 7 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $688 | $688 | — | — | — | $688 – $688 |
| 8 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 9 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 11 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 12 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $637 | $637 | $30 | 5% | — | $607 – $667 |
| 14 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $637 | $637 | $30 | 5% | — | $607 – $667 |
| 15 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 17 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $544 | $544 | — | — | — | $544 – $544 |
| 18 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $617 | $617 | $29 | 5% | — | $588 – $647 |
| 19 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $279 | $279 | — | — | — | $279 – $279 |
| 20 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $617 | $617 | $29 | 5% | — | $588 – $647 |
| 21 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 22 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
← Payers reporting HCPCS Q5104 · Snapshot 20261111T120946Z-9134e7f7