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
COVID19 SEND OUT TO CA
Low
$12
Average
$86
Median
$85
High
$213
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
275 hospitals; the 90th percentile is 2.4× 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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284 hospital rates
iThe hospitals that file a Ambetter 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 | ST JOSEPH REGIONAL HEALTH CENTER Bryan, TX fee schedule · outpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 2 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Abington Memorial Hospital Abington, PA professional · fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 4 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 6 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 8 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 9 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 10 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 11 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 12 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 13 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 14 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 15 | Ascension Cedar Park Park, TX fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 16 | Ascension Seton Austin, TX fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 17 | Ascension Seton Austin, TX fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 18 | Ascension Seton Austin, TX fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 19 | Ascension Seton Luling, TX fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 20 | Ascension Seton Burnet, TX fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 21 | Ascension Seton Smithville, TX fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 22 | Ascension Seton Bastrop, TX fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 23 | Ascension Seton Austin, TX fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 24 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | $27 | 66% | — | $14 – $67 |
| 25 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Payers reporting HCPCS U0002 · Snapshot 20261111T120946Z-9134e7f7