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.
Generation details were not recorded for this description.
Original text from hospital filings
HB=DISPENSING FEE
Low
$1
Average
$111
Median
$137
High
$205
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 202.3× 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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14 hospital rates
iThe hospitals that file a Medicaid 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 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both | 14 | $186 | $195 | $16 | 8% | — | $186 – $224 |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both | 14 | $186 | $196 | $16 | 8% | — | $186 – $224 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both | 2 | $205 | $205 | $19 | 9% | — | $186 – $224 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN per diem · both | 2 | $205 | $205 | $19 | 9% | — | $186 – $224 |
| 6 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | NYU Langone New York, NY case rate · both | 15 | $160 | $160 | — | — | — | $160 – $160 |
| 11 | NYU Langone Mineola, NY case rate · both | 15 | $116 | $116 | — | — | — | $116 – $116 |
| 12 | NYU Langone Brooklyn, NY case rate · both | 15 | $158 | $158 | — | — | — | $158 – $158 |
| 13 | NYU Langone New York, NY case rate · both | 15 | $160 | $160 | — | — | — | $160 – $160 |
| 14 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · both | 15 | $111 | $111 | — | — | — | $111 – $111 |
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