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
Fee Schedule
Low
$4
Average
$149
Median
$35
High
$1.3k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 21.8× 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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46 hospital rates
iThe hospitals that file a MultiPlan 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 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 2 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 6 | East Valley Glendora Hospital, LLC Glendora, CA facility · percent of total billed charges · bothfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 7 | GLENS FALLS HOSPITAL INC Falls, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $126 | $126 | $30 | 23% | — | $97 – $156 |
| 8 | GLENS FALLS HOSPITAL INC Falls, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | $30 | 23% | — | $97 – $156 |
| 9 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · inpatientfrom % of charges | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 10 | Geisinger Bloomsburg Hospital Bloomsburg, PA percent of total billed charges · outpatientfrom % of charges | 1 | $182 | $182 | — | — | — | $182 – $182 |
| 11 | Geisinger Community Medical Center Scranton, PA percent of total billed charges · inpatientfrom % of charges | 1 | $230 | $230 | — | — | — | $230 – $230 |
| 12 | Geisinger Community Medical Center Scranton, PA percent of total billed charges · outpatientfrom % of charges | 1 | $230 | $230 | — | — | — | $230 – $230 |
| 13 | Geisinger Jersey Shore Hospital Jersey Shore, PA percent of total billed charges · inpatientfrom % of charges | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 14 | Geisinger Jersey Shore Hospital Jersey Shore, PA percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | — | $171 – $171 |
| 15 | Geisinger Lewistown Hospital Lewistown, PA percent of total billed charges · inpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 16 | Geisinger Lewistown Hospital Lewistown, PA percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 17 | Geisinger Medical Center Muncy, PA percent of total billed charges · inpatientfrom % of charges | 2 | $230 | $230 | — | — | — | $230 – $230 |
| 18 | Geisinger Medical Center Muncy, PA percent of total billed charges · outpatientfrom % of charges | 2 | $230 | $230 | — | — | — | $230 – $230 |
| 19 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · inpatientfrom % of charges | 2 | $230 | $230 | — | — | — | $230 – $230 |
| 20 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · outpatientfrom % of charges | 2 | $230 | $230 | — | — | — | $230 – $230 |
| 21 | Indiana University Health Arnett Inc. Lafayette, IN percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $35 | $1 | 3% | — | $33 – $36 |
| 22 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $35 | $1 | 3% | — | $33 – $36 |
| 23 | Indiana University Health Bedford Inc. Bedford, IN percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $35 | $1 | 3% | — | $33 – $36 |
| 24 | Indiana University Health Bloomington Inc. Bloomington, IN percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $35 | $1 | 3% | — | $33 – $36 |
| 25 | Indiana University Health Frankfort Inc. Frankfort, IN percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $35 | $1 | 3% | — | $33 – $36 |
← Payers reporting HCPCS S0073 · Snapshot 20261112T181611Z-3fa9fb76