CDM 1264828
Prices here combine facility and professional fees. See them separately →Experimental
Rates differ by insurer. See what each payer pays for this code →Experimental
Low
$77
Average
$119
Median
$138
High
$142
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Reflects negotiated fee schedule rates with commercial payers.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Columbia Lutheran Charities Astoria, OR | $160 | $142 | $47 | 33% | 3,362–3,425 | $43 – $221 |
| 2 | San Juan Hospital Monticello, UT | $158 | $138 | $31 | 22% | — | $97 – $176 |
| 3 | North Canyon Medical Center Inc. Gooding, ID | $62 | $77 | $54 | 71% | — | $21 – $176 |
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