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
$95
Average
$180
Median
$150
High
$380
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 41 hospitals; the 90th percentile is 2.9× 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 | $105 | $113 | $40 | 35% | 297–369 | $58 – $235 |
| 2 | Mercy Health Saint Marys Grand Rapids, MI | $102 | $103 | $29 | 28% | 189–234 | $58 – $161 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA | $100 | $123 | $36 | 29% | 172–235 | $99 – $203 |
| 4 | Saint Alphonsus Regional Medical Center - Boise Boise, ID | $114 | $150 | $66 | 44% | 153–180 | $111 – $298 |
| 5 | Mount Carmel St Ann's Westerville, OH | $376 | $326 | $100 | 31% | 136–199 | $89 – $376 |
| 6 | Saint Francis Hospital and Medical Center Hartford, CT | $436 | $380 | $115 | 30% | 131–176 | $116 – $436 |
| 7 | St Joseph Mercy Chelsea Chelsea, MI | $105 | $112 | $39 | 35% | 125–152 | $58 – $235 |
| 8 | Mount Carmel Grove City Grove City, OH | $376 | $327 | $100 | 31% | 121–184 | $87 – $376 |
| 9 | Saint Marys Hospital Waterbury, CT | $372 | $331 | $87 | 26% | 116–179 | $116 – $372 |
| 10 | Samaritan Hospital Troy, NY | $144 | $187 | $73 | 39% | 99–144 | $128 – $300 |
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