RC 517
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
HC CLINIC EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS
Low
$35
Average
$140
Median
$143
High
$494
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 6.4× 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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66 hospital rates
iThe hospitals that file a Anthem 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 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 2 | $147 | $147 | — | — | — | $147 – $147 |
| 2 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 2 | $139 | $139 | $20 | 15% | — | $118 – $159 |
| 3 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · outpatientfrom % of charges | 3 | $376 | $370 | $64 | 17% | — | $260 – $432 |
| 4 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $37 | $44 | $20 | 45% | — | $37 – $100 |
| 5 | Carmel AmbSurg Carmel, IN fee schedule · both | 2 | $147 | $147 | — | — | — | $147 – $147 |
| 6 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 2 | $139 | $139 | $20 | 15% | — | $118 – $159 |
| 7 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $88 | $104 | $49 | 47% | — | $44 – $315 |
| 8 | Endo Surgery Center Carmel, IN fee schedule · both | 2 | $147 | $147 | — | — | — | $147 – $147 |
| 9 | Endo Surgery Center Carmel, IN fee schedule · outpatient | 2 | $139 | $139 | $20 | 15% | — | $118 – $159 |
| 10 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 3 | $311 | $348 | $51 | 15% | — | $311 – $420 |
| 11 | MaineHealth Rockport, ME case rate · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | MaineHealth Rockport, ME fee schedule · both | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 13 | MaineHealth Belfast, ME fee schedule · both | 2 | $64 | $64 | $24 | 38% | — | $40 – $88 |
| 14 | MaineHealth Portland, ME case rate · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 15 | MaineHealth Portland, ME fee schedule · both | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 16 | MaineHealth Biddeford, ME case rate · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 17 | MaineHealth Biddeford, ME fee schedule · both | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 18 | MaineHealth Norway, ME fee schedule · both | 2 | $64 | $64 | $24 | 38% | — | $40 – $88 |
| 19 | Montefiore Mount Vernon Hospital Mount Vernon, NY other · outpatient | 1 | $494 | $494 | — | — | — | $494 – $494 |
| 20 | Naab Road Surgery Center Indianapolis, IN fee schedule · both | 2 | $147 | $147 | — | — | — | $147 – $147 |
| 21 | Naab Road Surgery Center Indianapolis, IN fee schedule · outpatient | 2 | $139 | $139 | $20 | 15% | — | $118 – $159 |
| 22 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 23 | St. Joseph Hospital & Health Center, Inc. Kokomo, IN fee schedule · both | 2 | $147 | $147 | — | — | — | $147 – $147 |
| 24 | St. Joseph Hospital & Health Center, Inc. Kokomo, IN fee schedule · outpatient | 2 | $139 | $139 | $20 | 15% | — | $118 – $159 |
| 25 | St. Mary's Health, Inc. IN 47750; 10388 Warrick Wellness Trail Newburgh, IN fee schedule · both | 2 | $147 | $147 | — | — | — | $147 – $147 |
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