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
facility
Low
$748
Average
$3.4k
Median
$3.6k
High
$6.3k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
47 hospitals; the 90th percentile is 2.7× 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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66 hospital rates
iThe hospitals that file a First Health 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 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 3 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 5 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Greenfield Area Medical Center Greenfield, OH facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 7 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.3k | $3.3k | $459 | 14% | — | $2.8k – $3.7k |
| 8 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | $459 | 14% | — | $2.8k – $3.7k |
| 9 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 10 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 11 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 12 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 13 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $748 | $748 | $748 | 100% | — | $0 – $1.5k |
| 14 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA percent of total billed charges · outpatientfrom % of charges | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 15 | Lakeview Hospital Stillwater, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.2k | $1.4k | 62% | — | $858 – $3.6k |
| 17 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.2k | $1.4k | 62% | — | $858 – $3.6k |
| 18 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 19 | METHODIST HOSPITAL WESTOVER HILLS SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 20 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.2k | $1.4k | 62% | — | $858 – $3.6k |
| 21 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.2k | $1.4k | 62% | — | $858 – $3.6k |
| 22 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.2k | $1.4k | 62% | — | $858 – $3.6k |
| 23 | METROPOLITAN METHODIST SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.2k | $1.4k | 62% | — | $858 – $3.6k |
| 24 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | Methodist Hospital St. Louis Park, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
← Payers reporting HCPCS S0145 · Snapshot 20261111T120946Z-9134e7f7