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
Back school visit
Low
$0
Average
$69
Median
$20
High
$284
Each hospital's average Humana rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 26576.0× 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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26 hospital rates
iThe hospitals that file a Humana 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 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 11 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 14 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 18 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 19 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 20 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $199 | $199 | $66 | 33% | — | $133 – $266 |
| 22 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 23 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 24 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 2 | $284 | $284 | $18 | 6% | — | $266 – $302 |
| 25 | The Carle Foundation Hospital Urbana, IL fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
← Payers reporting HCPCS S9117 · Snapshot 20261112T181611Z-3fa9fb76