APC 0875
Low
$86
Average
$251
Median
$268
High
$446
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 2.8× 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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10 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Northbay Medical Center Vacaville, CA facility · other · outpatient | 4 | $207 | $208 | $93 | 44% | 27–54 | $82 – $338 |
| 2 | Providence Health and Services - Oregon Seaside, OR percent of total billed charges · outpatientfrom % of charges | 1 | $446 | $446 | — | — | 1–10 | $446 – $446 |
| 3 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 1 | $139 | $139 | — | — | 1–10 | $139 – $139 |
| 4 | CORNING HOSPITAL Corning, NY facility · fee schedule · outpatient | 5 | $320 | $280 | $81 | 29% | — | $118 – $320 |
| 5 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · fee schedule · outpatient | 5 | $335 | $291 | $87 | 30% | — | $118 – $335 |
| 6 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · fee schedule · outpatient | 5 | $426 | $365 | $123 | 34% | — | $118 – $426 |
| 7 | Providence Health And Services - Washington Everett, WA fee schedule · outpatient | 3 | $170 | $158 | $26 | 17% | — | $122 – $183 |
| 8 | ROBERT PACKER HOSPITAL Sayre, PA facility · fee schedule · outpatient | 5 | $341 | $284 | $86 | 30% | — | $118 – $341 |
| 9 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · fee schedule · outpatient | 5 | $279 | $256 | $71 | 28% | — | $118 – $324 |
| 10 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · case rate · outpatient | 2 | $86 | $86 | $27 | 31% | — | $59 – $112 |
← Payers reporting APC 0875 · Snapshot 20261111T120946Z-9134e7f7