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
$33
Average
$98
Median
$102
High
$208
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
62 hospitals; the 90th percentile is 3.2× 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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75 hospital rates
iThe hospitals that file a Medical Mutual 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 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $120 | $120 | — | — | 279 | $120 – $120 |
| 2 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 4 | $136 | $122 | $33 | 27% | 96 | $66 – $149 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 4 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $134 | $118 | $26 | 22% | — | $73 – $134 |
| 6 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 8 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $96 | $15 | 16% | — | $80 – $111 |
| 9 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 10 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 11 | Beavercreek Medical Center Springfield, OH fee schedule · outpatient | 2 | $107 | $107 | $9 | 9% | — | $97 – $116 |
| 12 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 13 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 14 | Dayton Osteopathic Hospital Dayton, OH fee schedule · outpatient | 2 | $107 | $107 | $9 | 9% | — | $97 – $116 |
| 15 | Defiance Hospital Inc Defiance, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 16 | Defiance Hospital Inc Defiance, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 17 | Defiance Hospital Inc Defiance, OH professional · fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 18 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 19 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 20 | Fort Hamilton Hospital Hamilton, OH fee schedule · outpatient | 2 | $107 | $107 | $9 | 9% | — | $97 – $116 |
| 21 | Fostoria Hospital Association Fostoria, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 22 | Fostoria Hospital Association Fostoria, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 23 | Fostoria Hospital Association Fostoria, OH professional · fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 24 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 25 | Greene Memorial Hospital Inc Xenia, OH fee schedule · outpatient | 2 | $107 | $107 | $9 | 9% | — | $97 – $116 |
← Payers reporting HCPCS U0002 · Snapshot 20261111T120946Z-9134e7f7