RC 259
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
facility
Low
$10
Average
$152
Median
$44
High
$825
Each hospital's average Clover rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 63.0× 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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14 hospital rates
iThe hospitals that file a Clover 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 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 3 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $61 | $71 | $62 | 88% | — | $0 – $152 |
| 4 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $93 | $305 | 327% | — | $1 – $9.8k |
| 6 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 1 | $825 | $825 | — | — | — | $825 – $825 |
| 7 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 8 | The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $85 | $308 | 364% | — | $1 – $12.0k |
| 9 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $825 | $825 | — | — | — | $825 – $825 |
| 10 | Virtua_Memorial_Hospital_Inc | Holly, NJ case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Virtua_Willingboro_Hospital_Inc Willinboro, NJ case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
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