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
Case management, per month
Low
$8
Average
$69
Median
$43
High
$307
Each hospital's average Molina rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 3.5× 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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29 hospital rates
iThe hospitals that file a Molina 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 3 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 5 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 6 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 9 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Highland Hospital Rochester, NY fee schedule · outpatient | 2 | $122 | $147 | $91 | 62% | — | $48 – $291 |
| 11 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 2 | $37 | $37 | $1 | 2% | — | $36 – $38 |
| 12 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 14 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 16 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · case rate · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 17 | San Bernardino County Redlands, CA facility · fee schedule · outpatient | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 18 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 2 | $39 | $39 | — | — | — | $39 – $39 |
| 19 | Sarasota Memorial Hospital - Venice North Venice, FL case rate · outpatient | 2 | $39 | $39 | — | — | — | $39 – $39 |
| 20 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 21 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 22 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 23 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 24 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 2 | $122 | $147 | $91 | 62% | — | $48 – $291 |
| 25 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
← Payers reporting HCPCS T2022 · Snapshot 20261112T181611Z-3fa9fb76