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
Bk pain vas 9-15mo > 3
Cleveland, OH
See all hospitals reporting HCPCS G2139 →Price type
Fairview Hospital’s median price of $10 is 64433% above the median hospital's median price ($0), higher than 86% of the 80 hospitals reporting HCPCS G2139. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Optum managed medicaid transplant facility · case rate · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Anthem managed medicaid facility · case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Molina managed medicaid facility · case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Caresource managed medicaid facility · case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 5 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $10 | $10 | — | — | — | $10 – $10 |
Last updated: Jun 15, 2026
See Back pain score above 3 at 9-15 months pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.