HCPCS S9109
Low
$156
Average
$187
Median
$187
High
$218
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2 hospital rates
iThe hospitals that file a Anthem 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 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $218 | $218 | — | — | — | $218 – $218 |
| 2 | Norton Kings Daughters Health Inc Madison, IN professional · fee schedule · both | 1 | $156 | $156 | — | — | — | $156 – $156 |
← Payers reporting HCPCS S9109 · Snapshot 20261113T090226Z-3ce6c0b8