CDM PX-35170450001
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
$79
Average
$207
Median
$169
High
$579
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 34 hospitals; the 90th percentile is 3.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Joseph Mercy Ann Arbor Ypsilanti, MI | $109 | $124 | $48 | 39% | 286–484 | $84 – $289 |
| 2 | St Joseph Mercy Oakland Pontiac, MI | $109 | $123 | $48 | 39% | 160–313 | $84 – $278 |
| 3 | St Mary Mercy Livonia Livonia, MI | $109 | $127 | $59 | 46% | 157–319 | $84 – $328 |
| 4 | Mercy Health Saint Marys Grand Rapids, MI | $109 | $116 | $42 | 36% | 115–250 | $84 – $364 |
| 5 | St Joseph Mercy Chelsea Chelsea, MI | $109 | $126 | $54 | 43% | 97–169 | $84 – $301 |
| 6 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI | $109 | $126 | $55 | 43% | 54–162 | $84 – $302 |
| 7 | Mercy Health Hackley Campus Muskegon, MI | $109 | $124 | $97 | 78% | 19–91 | $84 – $920 |
| 8 | Johnson Memorial Hospital Stafford Springs, CT | $347 | $332 | $54 | 16% | 8–80 | $179 – $539 |
| 9 | The Mercy Hospital Inc Springfield, MA | $129 | $151 | $72 | 48% | 7–70 | $129 – $509 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA | $107 | $113 | $27 | 24% | 5–50 | $107 – $240 |
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