CDM 45000189

HC CLD TX IPHAL JT DISLC W/ MANIP, W/ ANESTH

Reported by 65 hospitals in the network.

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National pricing summary

Based on 11,829–12,315 billing samples across every hospital reporting.

Low

$182

Average

$753

Median

$413

High

$3.3k

#	Hospital	Location
1	St Elizabeths Hospital Of The Hospital Sisters Of The Third Order Of St Francis	O'Fallon, IL	$850	$749	$432	1,668–1,749	$164	$1.3k
2	St Vincent Hospital Of The Hospital Sisters Of The Third Order Of St Francis	Green Bay, WI	$306	$301	$110	1,677–1,704	$61	$414
3	St Johns Hospital Of The Hospital Sisters Of The Third Order Of St Francis	Springfield, IL	$505	$506	$229	1,545–1,626	$165	$752
4	St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third Order Of St Francis	Mattoon, IL	$445	$413	$149	1,392–1,446	$155	$554
5	St Marys Hospital Medical Center Of Green Bay Inc Hospital Sisters	GREEN BAY, WI	$324	$304	$111	1,203–1,230	$63	$414
6	St Marys Hospital Decatur Of Hospital Sisters Of The Third Order Of St Francis	DECATUR, IL	$398	$365	$136	1,113–1,167	$139	$497
7	St Nicholas Hospital Of The Hospital Sisters Of The Third Order Of St Francis	SHEBOYGAN, WI	$327	$301	$111	708–735	$56	$414
8	St Josephs Hospital Hospital Sisters Third Order Of St Francis	Breese, IL	$665	$556	$254	642–669	$165	$804
9	St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St Francis	HIGHLAND, IL	$563	$461	$213	519–546	$132	$662
10	St Francis Hospital Sisters Of The Third Order Of St Francis	LITCHFIELD, IL	$504	$421	$177	492–519	$125	$597

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